Polyarteritis nodosa with a spontaneous recovery
M'Hiri, N.Khammassi.; Bouchhioua, D.Mohsen.; Abdelhédi, H.; Chrifi, J.; Hassen, Z.; Tougourti, M.N.; Hamza, M.
La Tunisie Medicale 87(11): 793-796
2009
ISSN/ISBN: 0041-4131 PMID: 20209842 Document Number: 629890
The periarteritis nodosa (PAN) is a serious necrotizing vasculitis. Healing is, classically, obtained after a long-term treatment using corticosteroids and immunosuppressive agents. Reporting the case of a NAP or was spontaneous healing without having recourse to any immunosuppressive treatment. We report an observation of a patient aged 27 monitoring for manic-depressive psychosis hospitalized for a fever during the course associated with high blood pressure (hypertension), a weight loss, asthenia and myalgia. Biology was a biological inflammatory syndrome (SIB), a creatinine 115 micromol/l. The survey infectious and immunological balance were negative. The arteriography showed a strongly evocative of the NAP. We have seen no sign of poor prognosis. The recovery was spontaneous after a short period of evolution with an amendment clinical and biological weapons. The patient was put under anti-HTA and reviewed regularly to the consultation. An analogy is drawn between such developments and already reported in some cases of viral PAN. The actual frequency of self-limitting PAN is unknown. The scarcity of cases reported in the literature may in part be attributed to ignorance.
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