Journal of Postgraduate Medicine
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Year : 2017  |  Volume : 63  |  Issue : 1  |  Page : 47-49  

Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia

A Shukla, A Aggarwal 
 Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
A Aggarwal
Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
India

Acute limb ischemia and peripheral vascular disease (PVD) are unusual presentations of polyarteritis nodosa (PAN). Here, we present a case with PVD of both lower limbs leading to foot claudication. Digital subtraction angiography showed narrowing, irregularity, and occlusion of both lower limb arteries with no involvement of the abdomen visceral arteries. Based on significant weight loss, diastolic blood pressure >90 mmHg, myalgia, testicular pain, and angiographic abnormalities in medium-sized arteries, he was diagnosed as having PAN. He was treated with corticosteroid and bolus intravenous cyclophosphamide following which he had prompt and near-complete recovery of the symptoms without any tissue loss.


How to cite this article:
Shukla A, Aggarwal A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia.J Postgrad Med 2017;63:47-49


How to cite this URL:
Shukla A, Aggarwal A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia. J Postgrad Med [serial online] 2017 [cited 2019 Oct 19 ];63:47-49
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2017;volume=63;issue=1;spage=47;epage=49;aulast=Shukla;type=0


 
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