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LETTER
Year : 2017  |  Volume : 63  |  Issue : 2  |  Page : 140-141

Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia


1 Pine Castle, Near Mist Chamber, Khalini, Shimla, India
2 Department of Ophthalmology, Dr. Yashwant Singh Parmar Government Medical College, Sirmour, Himachal Pradesh, India

Date of Web Publication10-Apr-2017

Correspondence Address:
S Chauhan
Pine Castle, Near Mist Chamber, Khalini, Shimla
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpgm.JPGM_104_17

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How to cite this article:
Chauhan S, Chauhan A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia. J Postgrad Med 2017;63:140-1

How to cite this URL:
Chauhan S, Chauhan A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia. J Postgrad Med [serial online] 2017 [cited 2017 Nov 21];63:140-1. Available from: http://www.jpgmonline.com/text.asp?2017/63/2/140/204164


We read with great interest the excellent article by Shukla and Aggarwal.[1] We applaud the authors on diagnosing and managing the rare entity but would like to make important additions. Examination of the oral cavity and the eye should also have been carried out in this patient as these two major organ systems can also be affected and hence need a special mention.

Oral involvement in the form of necrosis of the tongue with the involvement of soft/hard palates and the salivary gland has been reported [2] while ocular involvement can be in the form of scleritis, peripheral ulcerative keratitis, and retinal vasculitis.[3] Unfortunately, most of the health institutes tend not to focus on such examination as adequate knowledge is not shared on the subject.

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There are no conflicts of interest.

 
 :: References Top

1.
Shukla A, Aggarwal A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia. J Postgrad Med 2017;63:47-9.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Ciurtin C, Shirodaria A, Manson J, MacMillan R. Polyarteritis nodosa associated with necrosis of the tongue: A rare presentation in an adult patient. Br J Oral Maxillofac Surg 2015;53:883-5.  Back to cited text no. 2
    
3.
Foster CS. Ocular manifestations of the potentially lethal rheumatologic and vasculitic disorders. J Fr Ophtalmol 2013;36:526-32.  Back to cited text no. 3
    




 

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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
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