Dasgupta B, Almond M K, Tanqueray A
Department of Rheumatology, Southend General Hospital, Westcliff-on-Sea, Essex.
Br J Rheumatol. 1997 Nov;36(11):1210-2. doi: 10.1093/rheumatology/36.11.1210.
We describe a case of classical polyarteritis nodosa (PAN) with visceral aneurysms presenting with renal infarction and hypertension. The female patient also had all the laboratory features of the antiphospholipid syndrome (APS) and 2 months into her illness developed a large iliofemoral thrombosis. She responded well to immunosuppressive therapy and anti-coagulation. Repeat arteriogram showed regression of the visceral aneurysms. The link between PAN and APS, and the therapeutic dilemma posed by this association, are discussed.
我们描述了一例伴有内脏动脉瘤的经典结节性多动脉炎（PAN），该患者表现为肾梗死和高血压。这位女性患者还具备抗磷脂综合征（APS）的所有实验室特征，在患病2个月时出现了巨大的髂股静脉血栓形成。她对免疫抑制治疗和抗凝治疗反应良好。重复血管造影显示内脏动脉瘤消退。文中讨论了PAN与APS之间的联系以及这种关联所带来的治疗困境。
