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KMID : 0388220070140040427
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Journal of the Korean Rheumatism Association
2007 Volume.14 No. 4 p.427 ~ p.430
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A Case of Polyarteritis Nodosa Mimicking Systemic Lupus Erythematosus
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Lee Kwang-Hoon
Yoo Tae-Hyun
Lee Soo-Kon
Nam Dong-Hyuck
Lee Chan-Hee
Lee Hye-Won
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Abstract
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Polyarteritis nodosa (PAN) is a rare systemic necrotizing vasculitis involving multiple organ system. Systemic lupus erythematousus (SLE) also presented as a vasculitic symptoms. So, systemic vasculitis and SLE share some clinical features. We report a case of polyarteritis nodosa mimicking SLE. A 45-year-old woman was admitted due to oliguria. She diagnosed SLE because of pericardial effusion, hemolytic anemia, proteinuria, hematuria, and positivity of anti-dsDNA antibody. But she re-diagnosed as PAN through renal angiography and renal biopsy afterwards. She was treated with high dose steroid, cyclophosphamide, and anti-TNF-alpha antibody, but didn’t respond those therapies.
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KEYWORD
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Polyarteritis nodosa, Systemic lupus erythematosus, Vasculitis
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