"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).
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 , 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].