"Emergency" Cochlear Implantation in Labyrinthitis Ossificans Secondary to
Polyarteritis Nodosa: How to Face a Rare Entity.
Shirai T, Fujii H, Saito S et al (2013)
Polyarteritis nodosa clinically mimicking nonocclusive mesenteric ischemia.
Vasculitis of the breast: an unusual manifestation of
polyarteritis. Arthritis Rheum.
Other etiologies of granulomatous diseases such as tuberculosis, histoplasmosis, cysticercosis, sarcoidosis, autoimmune disease (poliangiitis granulomatosis,
polyarteritis nodosa) should be excluded for definite diagnosis.
Pericarditis, pleuritis, and abdominal complaints come into prominence in
polyarteritis nodosa, which is another granulomatous disease, and or al and genital ulcers are common symptoms in Behcet's disease (4).
Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome and infantile
polyarteritis nodosa was first described in 1967 by Tomisaku Kawasaki (1,2).
Vocal cord paralysis has also been reported in
polyarteritis nodosa, Behcet's disease, rheumatoid arthritis and eosinophilic granulomatosis with polyangiitis, although never as an initial isolated manifestation (8,9).
Skeik, "
Polyarteritis nodosa-induced pancreaticoduodenal artery aneurysmal rupture," International Journal of Angiology, vol.
Similarly, those with risk factors for renal disease like hypertension, hyperlipidemia, diabetes, smoking, lupus, renovascular stenosis, recurrent urinary tract infections (UTIs), vasculitides like Wegner's granulomatosis or Churg-Strauss syndrome, and
polyarteritis nodosa were also excluded from the study.
Of importance is the potentially heightened degree of atherosclerotic disease seen in several types of systemic vasculitis including giant cell arteritis [1, 2], Kawasaki's disease [3], granulomatosis with polyangiitis (GPA) [4-8], microscopic polyangiitis (MPA) [6, 7], and
polyarteritis nodosa (PAN) [7, 9-13].
In addition it occurs in multisystem inflammatory or immunologic conditions like rheumatoid arthritis,
polyarteritis nodosa, Crohn's disease, sarcoidosis, and polycystic kidney disease [13, 14].
Other pathologies potentially involved are prosthetic valves, atrial or ventricular thrombi, arteriosclerosis,
polyarteritis nodosa, lupus erythematous, trauma, and polycythemia vera [3, 5].
