Mees K, Scheidhauer E, Hill K
Dtsch Med Wochenschr. 1977 Jun 3;102(22):831-4. doi: 10.1055/s-0028-1104973.
Periarteritis nodosa occurs also in children and has the same wide spectrum of signs and symptoms as in adults. In a 4 1/2 year-old girl the disease at first was characterised by cerebral, encephalitis-like symptoms, arterial hypertension, intestinal wall necrosis and, finally, pericardial tamponade as a result of rupture of an arteritic coronary artery aneurysm. An earlier attack had involved liver and skeletal muscle, with necrosis in the liver. Peculiar morphological features within the "classical" course of periarteritis nodosa are endarteritic changes of single retroperitoneal and coronary arteries.
结节性多动脉炎也可发生于儿童，其体征和症状谱与成人相同。一名4岁半女童起初表现为脑部、类脑炎样症状、动脉高血压、肠壁坏死，最终因动脉性冠状动脉瘤破裂导致心包填塞。早期发作累及肝脏和骨骼肌，肝脏出现坏死。结节性多动脉炎“经典”病程中的特殊形态学特征是单个腹膜后动脉和冠状动脉的动脉内膜炎改变。
