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Korean J Helicobacter  Up Gastrointest Res > Volume 17(3); 2017 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2017;17(3):154-158.
DOI: https://doi.org/10.7704/kjhugr.2017.17.3.154    Published online September 10, 2017.
Failure of Conservative Treatment in Two Cases of Polyarteritis Nodosa with Superior Mesenteric Artery Involvement Presenting with Abdominal Pain
Ho Chan Sim, Ju Hyoung Lee, Ji Woon Lee, Seung Hyun Park, Ju Won Lee, Heui Jeong Jeong, Jin Lee, Sung Yeun Yang
Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. ysydrim@gmail.com
보존적 치료에 반응 없는 복통으로 내원한 상장간막동맥 결절성 다발동맥염 2예
심호찬, 이주형, 이지운, 박승현, 이주원, 정희정, 이 진, 양성연
인제대학교 의과대학 해운대백병원 내과학교실
Correspondence:  Sung Yeun Yang,
Email: ysydrim@gmail.com
Received: 26 April 2017   • Revised: 23 May 2017   • Accepted: 28 May 2017
Abstract
Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis affecting medium- or small-sized arteries. Its diagnosis may be delayed because it is a rare disease, and patients presenting with PAN demonstrate variable clinical manifestations and non-specific laboratory abnormalities. Gastrointestinal involvement occurs in 14~65% of patients with PAN and is a significant cause of morbidity and mortality. Thus, early diagnosis is very important in PAN with gastrointestinal involvement. We report two cases of rapidly progressive PAN presenting with abdominal pain, having failed conservative treatment.
Key Words: Abdominal pain; Mesenteric artery, superior; Polyarteritis nodosa; Vasculitis
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