Dec 12, 1975

Panarteritis nodosa-Special aspects of glucocorticoid and immune suppressive therapy (author's transl)

Medizinische Klinik
B SimonA K Horsch

Abstract

Report dealing with the clinical and pathoanatomical course as well as the autopsy findings in a 54 year old female suffering from panarteritis nodosa. Onset of the illness with polyneuritis and arthralgia. One year later diagnosis of panarteritis nodosa verified by muscle biopsy. Deterioration of the disease leading to the development of peripheral gangrene could not be prevented in spite of intensive therapy with steroids, immune suppressive agents, digitalis and antihypertensive drugs. Death 4 years later by myocardial infarction. Autopsy revealed generalized healed panarteritis nodosa with scarring and obliteration of vessels. A short description of the symptoms of the disease is given and the efficacy of the therapy with steroids and immune suppressive drugs is discussed from the clinical as well as the pathoanatomical point of view. Immunopathologic mechanisms are considered to be the responsible factors for pathogenesis.

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Mentioned in this Paper

Myocardial Infarction
Digitalis Glycosides
Structure of Renal Artery
Sinus Node Artery
Antihypertensive Agents
Muscle
Neuritis
Glucocorticoid Effect
Arthralgia
Microcirculation

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