ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Spontaneous Bilateral Rupture Of Kidneys Intwo Patients With Poliarteritis Nodosa
Mehmet Refik MAS, Cihan TOP, Hakan ERDEM, Bayram KOÇ, Yavuz BAYKAL,
Selim NALBANT, Haluk ÖZOTUK, Kenan SAĞLAM, Fikri KOCABALKAN
Gülhane Military Medical Academy, Faculty of Medicine, Dept. of Internal Medicine, ANKARA
Poliarteritis nodosa is a vasculitic syndrome that involves medium-sized and small muscular arteries. It was first described by Kussmaul and Maier in 1866. There is a multisystem involvement such as nephritis, peripheral neuropathy, skin rash, asymmetric polyarthralgia or arthritis (Kidney involvement occurs in about 75% of patients with poliyarteritis). Renal infarction and rupture of intrarenal arteries may occur. Renal insufficiency is the cause of death in about 50% of fatal cases. Hypertension may also develop. In this report we present two cases of renal involvement of PAN resulting in bilateral perirenal haematoma due to spontaneous rupture of intrarenal arterial aneurysms. We presented two case reports that had been diagnosed as PAN. Both of two patients came to the Gülhane Medical Faculty, because of fever, fatigue, weight loss, muscular pain and lower abdominal pain. In our two cases, the diagnosis was established by renal US, CT and DSA. Spontaneous renal haemorrhage or rupture are dramatic complications of PAN, as in our two cases, may be the first sign of disease.
Keywords: Poliarteritis nodosa, Spontaneous renal rupture
Turkiye Klinikleri J Med Sci 1996, 16:455-457
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