Yamada T, Miwa H, Ikeda K, Ohta K, Iwazaki R, Miyazaki A, Watanabe S, Hashimoto H, Futagawa S, Sato N
Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
J Clin Gastroenterol. 1997 Oct;25(3):535-7. doi: 10.1097/00004836-199710000-00011.
Several cases of polyarteritis nodosa associated with malignant disorders have been reported, most with bone marrow-related tumors. We report polyarteritis nodosa presenting with a fever of unknown origin and muscle weakness that was complicated by advanced gastric carcinoma and hepatitis B virus-positive cirrhosis. Vasculitis was diagnosed after gastrectomy from histologic findings of arterial vasculitis on the resected gastric carcinoma. Our case is so far the second such report of polyarteritis nodosa associated with gastric cancer.
已有多例结节性多动脉炎与恶性疾病相关的报道，其中大多数与骨髓相关肿瘤有关。我们报告了一例以不明原因发热和肌肉无力为表现的结节性多动脉炎，该病例并发晚期胃癌和乙肝病毒阳性肝硬化。在胃切除术后，根据切除的胃癌组织学检查发现动脉血管炎而诊断为血管炎。我们的病例是迄今为止第二例结节性多动脉炎与胃癌相关的报道。
