Cutaneous Polyarteritis Nodosa in Childhood : A Case Report and Review of the Literature
Joint Authors
Houghton, Kristin Michelle
Bansal, Nina-Karen
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-11-24
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Polyarteritis nodosa is a rare vasculitis of childhood.
Cutaneous PAN (cPAN) is limited to the skin, muscles, joints, and peripheral nerves.
We describe a 7.5-year-old girl with cPAN presenting initially as massive cervical edema who later went on to develop subcutaneous nodules, livedo reticularis, myositis, arthritis, and mononeuritis multiplex.
The use of corticosteroids resulted in initial clinical improvement, but symptom recurrence necessitated disease modifying antirheumatic drugs and biologic therapy.
We review a further 119 reports of biopsy proven cPAN in the literature.
A majority of patients (96.6%) had cutaneous involvement; musculoskeletal involvement was common and included both articular (58.0%) and muscular (42.9%) symptoms, and nervous system involvement was least common (18.5%).
Corticosteroids were used in the majority of patients (85.7%), followed by use of disease modifying antirheumatic drugs (33.0%), nonsteroidal anti-inflammatory drugs (10.7%), and intravenous immunoglobulin (9.8%).
Therapy of cPAN with biologics has only been reported in 2 patients, and we report the first patient treated with Rituximab.
A diagnosis of cPAN should be considered in a child with fever, vasculitic rash, and musculoskeletal symptoms.
Most children respond to corticosteroids and have a benign course, but some require disease modifying antirheumatic drugs and biologic therapies.
American Psychological Association (APA)
Bansal, Nina-Karen& Houghton, Kristin Michelle. 2010. Cutaneous Polyarteritis Nodosa in Childhood : A Case Report and Review of the Literature. Arthritis،Vol. 2010, no. 2010, pp.1-7.
https://search.emarefa.net/detail/BIM-490656
Modern Language Association (MLA)
Bansal, Nina-Karen& Houghton, Kristin Michelle. Cutaneous Polyarteritis Nodosa in Childhood : A Case Report and Review of the Literature. Arthritis No. 2010 (2010), pp.1-7.
https://search.emarefa.net/detail/BIM-490656
American Medical Association (AMA)
Bansal, Nina-Karen& Houghton, Kristin Michelle. Cutaneous Polyarteritis Nodosa in Childhood : A Case Report and Review of the Literature. Arthritis. 2010. Vol. 2010, no. 2010, pp.1-7.
https://search.emarefa.net/detail/BIM-490656
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490656