Dello Strologo L, Malena S, De Simone G, Barsotti P, Rizzoni G
Department of Nephrology and Dialysis, Bambino Gesù Children's Hospital, Rome, Italy.
Clin Nephrol. 1993 Mar;39(3):137-9.
We report a case of a child who was first seen for acute renal failure and periarteritis nodosa. Angiography findings confirmed this diagnosis. Ultrasound scan revealed large tricuspid valve vegetation, as well as minute vegetation on the right ventricular wall. All vegetation disappeared after 12 months of immunosuppressive therapy. Serology findings for lupus were negative. All clinical and laboratory findings strongly support the hypothesis that this previously undescribed heart involvement is caused by PAN.
我们报告一例最初因急性肾衰竭和结节性多动脉炎就诊的儿童病例。血管造影结果证实了这一诊断。超声扫描显示三尖瓣有大的赘生物，以及右心室壁上有微小赘生物。经过12个月的免疫抑制治疗后，所有赘生物均消失。狼疮的血清学检查结果为阴性。所有临床和实验室检查结果均有力支持以下假说：这种先前未描述的心脏受累是由结节性多动脉炎引起的。
