[Polyarteritis nodosa with hepatitis and pancreatitis].
A 39-year-old man, known as a heavy drinker, presented with general malaise, abdominal pain, a history of icterus and progressive weight loss. He was found to have an acute hepatitis B infection and pancreatitis with pancreatic pseudocysts. A diagnosis of polyarteritis nodosa was made on clinical grounds, and confirmed pathologically. The patient was treated with high-dose corticosteroids, cyclophosphamide, antibiotics and drainage. However, the disease was progressive and the patient died. Pancreatitis in relation to polyarteritis nodosa, the association with hepatitis B infection, and new therapeutic possibilities are discussed.
Brumsen
C
C
Westeinde Ziekenhuis, afd. Interne Geneeskunde, 's-Gravenhage.
de Man
R A
RA
van der Maas
A P
AP
Swart
G R
GR
D000328:Adult; D000437:Alcoholism / Q000150:complications; D006509:Hepatitis B / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000175:diagnosis; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis*; D010488:Polyarteritis Nodosa / Q000150:complications / Q000175:diagnosis*; D011379:Prognosis
Polyarteriitis nodosa met hepatitis en pancreatitis.