Artículos de revistas
Acute cholecystitis at initial presentation of polyarteritis nodosa
Registro en:
Clinical Rheumatology. Springer, v. 24, n. 6, n. 625, n. 627, 2005.
0770-3198
WOS:000232857700012
10.1007/s10067-005-1092-y
Autor
Fernandes, SRM
Samara, AM
Magalhaes, EP
Sachetto, Z
Metze, K
Institución
Resumen
Polyarteritis nodosa (PAN) is a systemic vasculitis of unknown etiology. Although gastrointestinal involvement may be seen in half of the cases of PAN, vasculitis of the gallbladder at the disease onset is a rare presentation. We report a case of a 48-year-old man who was admitted due to acute cholecystitis. He had complained of myalgia, fever and weight loss for about one month prior to admission. At physical examination, mild hypertension and calf pain were noted. He underwent a cholecystectomy; histopathological evaluation disclosed necrotizing vasculitis suggestive of PAN. We emphasize that cholecystitis may be part of the initial presentation of systemic vasculitis. 24 6 625 627