Rouget J P, Montreuil G, Vaneecloo F M, Dewailly P, Jaillard J
Sem Hop. 1983 Jan 20;59(3):160-6.
Two cases of systemic necrotizing angeitis are reported because of their very unusual presenting symptom: serous otitis media responsible for bilateral deafness. After this "invasion phase", typical polyarteritis nodosa developed. Cardiac involvement, with auriculoventricular block, and cranial neuritis were observed in both cases. The few previously published identical cases are reviewed. Specific neurological and cardiac forms of P.A.N. are discussed. It is hypothesized that the cause of this immune complex-mediated disease is infectious.
报告了两例系统性坏死性血管炎病例，因其呈现出非常不寻常的症状：浆液性中耳炎导致双侧耳聋。在这个“侵袭期”之后，典型的结节性多动脉炎发展起来。两例均观察到心脏受累伴房室传导阻滞以及颅神经炎。对之前发表的少数相同病例进行了回顾。讨论了结节性多动脉炎的特定神经和心脏形式。据推测，这种免疫复合物介导的疾病的病因是感染性的。
