Korean J Gastrointest Endosc.
2010 Aug;41(2):113-117.
Polyarteritis Nodosa Localized in Small Intestine: A Case Report
- Affiliations
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- 1Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea. jisuny111@naver.com
- 2Department of Pathology, Hallym University Medical Center, Hallym University College of Medicine, Seoul, Korea.
- 3Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Abstract
- Polyarteritis nodosa is a systemic necrotizing vasculitis that affects mainly small and medium-sized arteries that involve multiple organs. In addition to the systemic involvement of classical vasculitis, localized vasculitis involves blood vessels within a confined vascular distribution or single organ without clinical evidence of generalized inflammation. Localized vasculitis of the gastrointestinal tract is a rare entity. In particular, a limited involvement of the small bowel is an unusual manifestation of polyarteritis nodosa. In this report, we describe a case of biopsy-proven polyarteritis nodosa presenting as small bowel bleeding without other systemic manifestations.