Castresana-Isla C, Ramírez Corrales JA

Language: Spanish
References: 14
Page: 427-431
PDF size: 689.72 Kb.

ABSTRACT

We describe a patient with an abdominal mass who was treated by excision of the involved tissue. Histopathological analysis showed the presence of polyarteritis nodosa localized at the cecum. The patient had previously a malabsortion syndrome originated by an hereditary chronic pancreatitis. The relationship between an abnormal intestinal flora secondary to malabsortion and the subsecuent inmunological process is discussed. On follow up studies there was no evidence of active vasculitis in the intestine or other organs, 5 years after surgery.

REFERENCES

1. 1. Ball GV, Gay KM. Vasculitis in Koopman WJ Ed. Arthritis and allied conditions. 14 th Ed. Philadelphia . Lippincott Williams & Wilkins,2001, pp 1656-1693.

2. 2. Burke AP, Sobin LH,Virman R. Localized vasculitis of the gastrointestinal tract. Am. J. Surg Pathol. 1995; 19: 338-349.

3. 3. Díaz-Pérez J, Winkelman RK. Cutaneous periarteritis nodos.Arch. Dermatol. 1974; 110: 407-414.

4. 4. Fraenkel-Rubin M, Ergis D, Stoheger ZM. Limited polyarteritis nodosa of the male and female reproductive systems, diagnostic and therapeutic approach. Ann. Rheum. Dis. 2002; 61: 362-364.

5. 5. Freilich BD, Bernstein CN. Vasculitis possibly confined to the small intestine. West. J. Med. 1995; 162:63-65.

6. 6. García F, Pedrol E, Casademont J, Mellado B, Córdoba R et al. Polyarteritis nodosa confined to the calf muscles. J. Rheumatol. 1992;19: 303-305.

7. 7. Ito M, Sano K, Inaba H, Hotchi M. Localized necrotizing arteritis. Arch. Pathol. Lab. Med. 1991; 115: 780-783

8. 8. Qasim FJ, Thiru S, Maathieson PW, Oliveira DB. The time, course and characterization of mercuric chloride induced immunopathology in the brown Norway rat. J. Autoimmun. 1995;8: 193-200.

9. 9. Raza K, Exley AR, Carruthens DM, Bucckley C, Hammond LA et al. Localized bowel vasculitis. Arthritis & Rheum. 1999; 42: 182-185.

10. 10. Stegeman CP. Tervaert JWC, Sluiter WJ, Manson WC, De Jong PC et al. Association of chronic nasal carriage of Staphylococus aureus and high relapse rates in Wegener granulomatosis. Ann. Intern. Med. 1994, 120: 12-17.

11. 11. Stenson WF, Newberry RD, Lorenz MD. Immunological diseases of the gastrointestinal tract in: Austen KF, Frank MM, Atkinson JP, Cantor H Eds. Samter”s Immunological Diseases. 6th ed. Philadelphia. Lippincott Williams & Wilkins. 2001, pp 613-711.

12. 12. Toskes PP. Malabsorción en: Bennet JC, Plum F. Eds. Cecil, Tratado de Medicina Interna. 2ª ed. México. McGraw Hill Interamericana 1999 pp 796-809.

13. 13. Woodcock NP, Robertson J, Morgan RC, Gregg KL, Mitchell CJ, McFie J. Bacterial translocation and immunohistochemical measurement of gut immune function. J. Clin. Pathol. 2001; 54: 619-623.