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儿童结节性多动脉炎

Polyarteritis in children.

作者信息

Reimold E W, Weinberg A G, Fink C W, Battles N D

出版信息

Am J Dis Child. 1976 May;130(5):534-41. doi: 10.1001/archpedi.1976.02120060080015.

DOI:10.1001/archpedi.1976.02120060080015
PMID:5883
Abstract

Polyarteritis was diagnosed in three girls, 9 to 10 years old, by kidney and skin biopsies. They were treated with a combination of prednisone (1.5 to 2 mg/kg) and cyclophosphamide (2 mg/kg) for up to 12 months. The illness was severe in all three, complicated by hypertension, seizures, pulmonary infiltrates, renal failure, or hallucinations. All three patients are alive and well with no or minimal residual symptoms two to three years after therapy was discontinued. The treatment with corticosteroids or with a combination of steroids and immunosuppressive drugs seems to improve the prognosis of polyarteritis considerably.

摘要

通过肾脏和皮肤活检,三名9至10岁的女孩被诊断患有结节性多动脉炎。她们接受了泼尼松(1.5至2毫克/千克)和环磷酰胺(2毫克/千克)联合治疗,疗程长达12个月。三名患者病情均严重,伴有高血压、癫痫发作、肺部浸润、肾衰竭或幻觉等并发症。在停止治疗两到三年后,所有三名患者均存活且状况良好,没有或仅有轻微的残留症状。使用皮质类固醇或皮质类固醇与免疫抑制药物联合治疗似乎能显著改善结节性多动脉炎的预后。

相似文献

1
Polyarteritis in children.儿童结节性多动脉炎
Am J Dis Child. 1976 May;130(5):534-41. doi: 10.1001/archpedi.1976.02120060080015.
2
[Polyarteritis nodosa. Visceral angiography ensures the diagnosis].
Dtsch Med Wochenschr. 1984 May 25;109(21):833-4. doi: 10.1055/s-2008-1069283.
3
[Polyarteritis nodosa: anatomo-clinical correlation of 3 cases].[结节性多动脉炎:3例病例的解剖学与临床相关性]
Rev Clin Esp. 1972 Dec 31;127(6):1051-62.
4
Diagnosis and management of polyarteritis nodosa.结节性多动脉炎的诊断与管理
Compr Ther. 1981 Feb;7(2):37-44.
5
Polyarteritis nodosa presenting as seizures.以癫痫发作为表现的结节性多动脉炎。
Ann Emerg Med. 1983 Oct;12(10):642-4. doi: 10.1016/s0196-0644(83)80214-5.
6
Cyclophosphamide-induced remissions in advanced polyarteritis nodosa.环磷酰胺诱导晚期结节性多动脉炎缓解。
Am J Med. 1978 May;64(5):890-4. doi: 10.1016/0002-9343(78)90533-8.
7
Polyarteritis nodosa in older children.
Pediatrics. 1977 Aug;60(2):227-34.
8
Treatment of good-prognosis polyarteritis nodosa and Churg-Strauss syndrome: comparison of steroids and oral or pulse cyclophosphamide in 25 patients. French Cooperative Study Group for Vasculitides.预后良好的结节性多动脉炎和变应性肉芽肿性血管炎的治疗:25例患者中糖皮质激素与口服或冲击环磷酰胺的比较。法国血管炎协作研究组
Br J Rheumatol. 1997 Dec;36(12):1290-7. doi: 10.1093/rheumatology/36.12.1290.
9
Acute cholecystitis at initial presentation of polyarteritis nodosa.结节性多动脉炎初发时合并急性胆囊炎。
Clin Rheumatol. 2005 Nov;24(6):625-7. doi: 10.1007/s10067-005-1092-y. Epub 2005 Mar 24.
10
Polyarteritis nodosa mimicking prostatic cancer.
J Rheumatol. 2000 Oct;27(10):2504-6.

引用本文的文献

1
Polyarteritis Nodosa: Old Disease, New Etiologies.结节性多动脉炎:一种古老的疾病,新的病因。
Int J Mol Sci. 2023 Nov 23;24(23):16668. doi: 10.3390/ijms242316668.
2
Cutaneous polyarteritis nodosa in childhood: a case report and review of the literature.儿童皮肤型结节性多动脉炎:一例报告并文献复习
Arthritis. 2010;2010:687547. doi: 10.1155/2010/687547. Epub 2010 Nov 24.
3
Medium-size-vessel vasculitis.中等大小血管炎。
Pediatr Nephrol. 2010 Sep;25(9):1641-52. doi: 10.1007/s00467-009-1336-1. Epub 2009 Nov 28.
4
Clinical approach to vasculitides.血管炎的临床处理方法
Indian J Pediatr. 2002 Oct;69(10):881-8. doi: 10.1007/BF02723713.
5
Pulmonary hemorrhage in an adolescent with Henoch-Schönlein purpura.一名患有过敏性紫癜的青少年出现肺出血。
West J Med. 1996 Feb;164(2):171-3.
6
Clinical quiz. Polyarteritis nodosa (PAN).临床问答。结节性多动脉炎(PAN)。
Pediatr Nephrol. 1993 Aug;7(4):501-2. doi: 10.1007/BF00857584.
7
Polyarteritis nodosa: regression of arterial aneurysms following immunosuppressive and corticosteroid therapy.结节性多动脉炎:免疫抑制和皮质类固醇治疗后动脉动脉瘤的消退
Pediatr Radiol. 1981 Feb;10(3):139-41. doi: 10.1007/BF00975187.
8
Combined therapy with methotrexate and prednisone in polyarteritis nodosa.甲氨蝶呤与泼尼松联合治疗结节性多动脉炎。
Can Med Assoc J. 1980 Nov 8;123(9):893-4.
9
Cutaneous polyarteritis nodosa in a young child.一名幼儿的皮肤结节性多动脉炎。
Arch Dis Child. 1980 Jul;55(7):569-72. doi: 10.1136/adc.55.7.569.
10
Renal disease and vasculitis.
Pediatr Nephrol. 1988 Oct;2(4):490-7. doi: 10.1007/BF00853446.