PMID: 16508228Mar 2, 2006Paper

Hepatitis B-related polyarteritis nodosa presenting necrotizing vasculitis in the hepatobiliary system successfully treated with lamivudine, plasmapheresis and glucocorticoid

Internal Medicine
Shigeyuki TakeshitaKatsumi Eguchi

Abstract

A 64-year-old man was admitted for alithiasic cholecystitis. Necrotizing vasculitis was detected in a gallbladder obtained at the cholecystectomy. Slight elevation of transaminases, HBe antigens and hepatitis B-DNA (HBV-DNA) were detected in the patient. Intrahepatic necrotizing vasculitis was also detected in the liver biopsy specimen, and he also suffered from peripheral neuropathy of suddenly onset. Based on the diagnosis of hepatitis B-related polyarteritis nodosa, lamivudine was initially administered, followed by plasmapheresis and glucocorticoid steroid therapy. These treatments brought satisfactory improvement of polyarteritis nodosa without exacerbation of liver function.

Citations

Oct 12, 2010·La Revue de médecine interne·G GeriP Cacoub
Jul 1, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ellen C EbertNaomi Schlesinger
Jan 1, 2012·Case Reports in Hepatology·Riyadh Ali MohammedOsama Mohammed
Apr 18, 2009·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Hakan UnalUgur Yilmaz
Aug 28, 2021·World Journal of Clinical Cases·Ioulia MarkakiMarios Papadakis

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