Polyarteritis nodosa with inappropriate ADH secretion

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چکیده

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Acute confusional state and hyponatraemia due to inappropriate antidiuretic hormone secretion in polyarteritis nodosa.

An acute confusional state, which developed in a patient with polyarteritis nodosa (PAN), proved to be secondary to inappropriate secretion of antidiuretic hormone and consequent hyponatraemia. This is a very unusual complication of PAN and may well reflect a direct stimulation of the supraoptic nuclei owing to cerebral vasculitis.

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Polyarteritis Nodosa

POLYARTERITIs NODosA, as its niame implies, is ain inflammatory lesion involving the -whole three coats of the arterial system in a noclal manner. The causation of this is unknown, but its peculiar affinity for wi(despread involvement of the smaller arteries results in a multiplicity of clinical signs and symptoms, and leads to confusion and difficulty in diagnosis. The more severely affected o...

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Polyarteritis Nodosa

Polyarteritis nodosa (PAN) is the systemic necrotizing vasculitis on small and median muscular vessels. Recent studies reveal that PAN consists of classical PAN and microscopic polyangitis (MPA). MPO-ANCA, which is one of anti-neutrophil cytoplasmic antibody (ANCA), is involved in the pathogenesis of MPA. In future, by the progress of research of ANCA, the definition or criteria of systemic vas...

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Polyarteritis nodosa.

Polyarteritis nodosa (PAN) is regarded rightly as the grandfather of the vasculitides. In this Grand Rounds, the case of a 30-year-old man with a 12-year illness is described. The patient presented with daily fevers, tachycardia, and cutaneous ulcers on his distal extremities. He eventually developed mononeuritis multiplex. Because of the striking pattern of his fevers, he was diagnosed for man...

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Seckel syndrome is a rare genetic disorder with a typical "bird-headed" appearance. It could affect many organ systems but renal involvement is uncommon. Polyarteritis nodosa is systemic vasculitic disorder which also involves kidneys. We report a case of Seckel syndrome in a 9 year-old boy with renal involvement due to polyarteritis nodosa. According to the literature, this is the first report...

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ژورنال

عنوان ژورنال: Arthritis & Rheumatism

سال: 1982

ISSN: 0004-3591,1529-0131

DOI: 10.1002/art.1780250122