臨床リウマチ
Online ISSN : 2189-0595
Print ISSN : 0914-8760
ISSN-L : 0914-8760
原著
A群β溶血性連鎖球菌感染後に結節性多発動脈炎を発症した一例
中野 弘雅岡 寛柴田 朋彦野崎 俊子林 彩子古川 健太郎井上 誠鈴木 敏明武岡 裕文尾崎 承一
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2007 年 19 巻 1 号 p. 56-60

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    A 42-year-old female developed sore throat and high-grade fever in the beginning of May 2005. Antibiotic therapy was not effective for her symptoms, so she was transferred to our hospital. On admission day, we found erythema nodosum and marked by elevated CRP (21.0 mg/dl) and erythrocyte sedimentation rate (130 mm/hr), accompanying severe anemia (Hb 8.4 g/dl). All the immunological tests including antinuclear antibodies, rheumatoid factor, MPO-ANCA were negative while ASO was marked by elevates. The urinalysis was normal. By an abdominal angiography, we found both partial stenosis and dilation in upper mesenteric artery. A diagnosis of polyarteritis nodosa (PN) was made. After 40 mg daily prednisolone therapy, her symptoms and the abnormal laboratory data have recovered in a short period. We consider that this is a kind of rare case of adult PN, which developed in association with preceding acute streptococcal infection.

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© 2007 一般社団法人日本臨床リウマチ学会
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