title: [Panarteritis nodosa with kidney and spleen rupture: diagnostic and therapeutic possibilities].
abstract: Classic polyarteritis nodosa is a necrotizing vasculitis affecting medium- and small-sized arteries. Renal involvement from aneurysm formation is common and can result in perirenal or intrarenal bleeding. The gold standard of diagnostic procedures is the arteriography. Treatment of choice is a combination of steroids and cyclophosphamide, but in the case of severe hemorrhage surgery is mandatory. Patients with PAN need at least 2 years of long-term therapy; repeated arteriography will establish the efficacy of therapy.
authors.affiliation: Medizinische Klinik, Universität Heidelberg.
authors.forename: M
authors.initials: M
authors.lastname: Siebels
authors.forename: G
authors.initials: G
authors.lastname: Nöldge
authors.forename: R
authors.initials: R
authors.lastname: Sanwald
authors.forename: K
authors.initials: K
authors.lastname: Andrassy
mesh_terms: D000328:Adult; D006801:Humans; D007674:Kidney Diseases / Q000150:complications; D008297:Male; D010488:Polyarteritis Nodosa / Q000175:diagnosis* / Q000628:therapy*; D012421:Rupture; D013158:Splenic Diseases / Q000150:complications
vernacular_title: Panarteriitis nodosa mit Nieren- und Milzruptur: diagnostische und therapeutische Möglichkeiten.