Multiple Hemorrhagic Gastric Ulcers due to Polyarteritis Nodosa

Tomoko NARUSAKO; Hidetsugu UEYAMA; Nobuhito TSUNETOMI; Yasuhiro ABE; Akiko KANEKO; Toshihide KUMAMOTO; Tomiyasu TSUDA

doi:10.2169/internalmedicine.36.657

Tomoko NARUSAKO, Hidetsugu UEYAMA, Nobuhito TSUNETOMI, Yasuhiro ABE, Akiko KANEKO, Toshihide KUMAMOTO, Tomiyasu TSUDA

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Keywords: vasculitis, microscopic polyangiitis, gastrectomy, perinuclear antineutrophil cytoplasmic antibody (p-ANCA), abdominal complication

JOURNAL FREE ACCESS

1997 Volume 36 Issue 9 Pages 657-660

DOI https://doi.org/10.2169/internalmedicine.36.657

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Abstract

A 73-year-old man developed refractory multiple hemorrhagic gastric ulcers. Emergent gastrectomy was performed, and the diagnosis of polyarteritis nodosa was made by histologic evaluation of the resected stomach. Although gastric ulceration is a relatively rare complication of polyarteritis nodosa, it should be considered in the differential diagnosis of refractory hemorrhagic gastric ulcers. Emergent surgery may be indicated in such cases.
(Internal Medicine 36: 657-660, 1997)

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