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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1991-8-21
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pubmed:abstractText |
Periarteritis nodosa is a necrotizing vasculitis diagnosed on clinical, angiographic and histological criteria. We conducted a retrospective study of the various clinical and paraclinical manifestations of the disease in a series of 27 patients hospitalized in an Internal Medicine department. Visceral angiography showed microaneurysms in only 12.5% of the cases, and we consider that the indications of this method are limited. Segmental necrotizing vasculitis of the medium- and small-caliber arteries was found in only 33% of muscle biopsies. This criterion has low sensitivity and must be improved by systematic electromyography which showed abnormal results in 87% of the patients. Due to the insufficient sensitivity of paraclinical criteria, the clinical criteria proposed by Godeau and Guillevin are of great practical value. However, we suggest that their definition should be modified on three points: multineuritis should be replaced by peripheral neuropathies; livedo should be included in the cutaneous criterion, and positive serology for hepatitis B or C virus should be added to the positivity criteria.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0248-8663
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
12
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
111-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1677210-Adult,
pubmed-meshheading:1677210-Aged,
pubmed-meshheading:1677210-Aged, 80 and over,
pubmed-meshheading:1677210-Angiography,
pubmed-meshheading:1677210-Biopsy,
pubmed-meshheading:1677210-Female,
pubmed-meshheading:1677210-Humans,
pubmed-meshheading:1677210-Male,
pubmed-meshheading:1677210-Middle Aged,
pubmed-meshheading:1677210-Polyarteritis Nodosa,
pubmed-meshheading:1677210-Retrospective Studies
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pubmed:articleTitle |
[Clinical study and diagnostic criteria of periarteritis nodosa. Apropos of 27 cases].
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pubmed:affiliation |
Service de Médecine Interne, Centre Hospitalier Lyon Sud, Pierre Benite.
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pubmed:publicationType |
Journal Article,
English Abstract
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