[Polyarteritis nodosa: differential diagnostics and therapy].

Abstract:

:Polyarteritis nodosa (PAN) is a necrotizing vasculitis of medium size arteries that may affect various organs. The clinical appearance is very variable. The most common manifestations are of the skin, the peripheral nervous system presenting as mononeuritis multiplex and the mesenteric and renal blood vessels due to the development of stenoses and small aneurysms. Of the cases one third are estimated to be associated with hepatitis B virus (HBV). The therapy depends on the pathogenesis of the disease: primary PAN is treated with immunosuppressants, whereas patients with HBV-related PAN should receive antiviral therapy and plasmapheresis. Differentiating PAN from other forms of vasculitis can be difficult and requires complex differential diagnostics.

journal_name

Z Rheumatol

authors

Schirmer JH,Holl-Ulrich K,Moosig F

doi

10.1007/s00393-014-1483-z

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

917-26; quiz 926-7

issue

10

eissn

0340-1855

issn

1435-1250

journal_volume

73

pub_type

杂志文章
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    authors: Pirklbauer M,Gruber J

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  • [Is transcranial magnetic stimulation a helpful method in diagnosis of cervical myelopathy in patients with chronic polyarthritis?].

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    journal_title:Zeitschrift fur Rheumatologie

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  • [Ultrastructure of hyaline cartilage and articular capsule tissue in alkaptonuric ochronosis].

    abstract::The biochemical defect leading to alcaptonuria is well known. However, the pathogenesis of ochronotic arthropathy is poorly understood. The present ultrastructural study elucidated the localization of ochronotic pigment in the articular cartilage and evidence was found that suggests a pathway for cartilage destruction...

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    doi:

    authors: Mohr W,Wessinghage D,Lenschow E

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  • [Operative treatment of the rheumatic shoulder].

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章,评审

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    authors: Heers G,Grifka J,Springorum HR,Craiovan B,Anders S

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  • [Liberation of the oxygen radical from peripheral human phagocytes (granulocytes and monocytes) in patients with chronic polyarthritis].

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Meske S,Maly FE,Estefan M,Müller W

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  • [Sex-specific differences of the immune system].

    abstract:BACKGROUND:Sex-specific differences in the prevalence and severity of immune disorders are well-known phenomena; however, it is only recently that we have begun to understand the possible causes of such differences. MATERIAL AND METHODS:A literature search on this topic was carried out and the results are summarized. ...

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  • [Patient-centered assessment of functional health in systemic sclerosis -- where are we now?].

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  • Mitteilungen des BDRh.

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    pub_type: 新闻

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    journal_title:Zeitschrift fur Rheumatologie

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  • [Physiotherapy and exercise in osteoporosis and its complications].

    abstract::Osteoporosis is defined by decreased bone strength and increased susceptibility to fracture. Fractures and their consequences are the clinical manifestation of osteoporosis. Acute and chronic pain, functional limitations including permanent impairment and the need for long-term care may be caused by osteoporotic fract...

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  • [Informing patients in the German Rheumaliga].

    abstract::The German Rheuma-Liga as the largest patient organisation presents the different ways of informing patients. Patient- education-programs are presented, with a program focussing on social and psychological issues in particular. ...

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  • [Magnetic resonance tomography and hybrid imaging in rheumatology].

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  • [Infection-induced reactive arthritis : etiopathogenesis, clinical spectrum, therapy].

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  • [Fractalkine--a proinflammatory chemokine in rheumatoid arthritis].

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    doi:

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  • [Oxaprozin versus diclofenac retard in treated of activated arthrosis].

    abstract:AIM:The present study should elucidate the efficacy, patient acceptability, and side effect profiles of Oxaprozin and Diclofenac retard when given to patients with active primary osteoarthrosis. METHODS:80 outpatients with active primary osteoarthrosis with a radiological grade of II or III in the hip or knee joint (m...

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    更新日期:1998-04-01 00:00:00

  • [Biosimilars : Current state of the build up to series production].

    abstract::When patents expire, usually after 10 years in Germany, generic medicines routinely enter the market in place of conventional medications leading to significant reductions in prices. Currently the first biologicals are approaching patent expiry. Because of the biochemical complexities truly identical imitators are unr...

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  • [Imaging procedures in rheumatology: imaging in vasculitis].

    abstract::In small vessel vasculitides, imaging studies aid in determining disease extent and activity, localization for biopsy, and for disease monitoring. They do not directly delineate the vasculitic lesion. Imaging studies focus on the upper and lower respiratory tract. Cranial magnetic resonance imaging (MRI) shows upper r...

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  • Evaluation of early diagnostic criteria for ankylosing spondylitis in a 10 year follow-up.

    abstract::A set of early diagnostic (ED) criteria comprising clinical data, ESR, radiological spinal signs, and the risk factor HLA B27 was evaluated after 5 and 10 years in a follow-up of 54 patients with an initial diagnosis of possible ankylosing spondylitis (AS). After 10 years 32 patients (59%) had developed definite AS ac...

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    doi:

    authors: Mau W,Zeidler H,Mau R,Majewski A,Freyschmidt J,Stangel W,Deicher H

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