Tricuspid valve vegetation in a child with periarteritis nodosa.
We report a case of a child who was first seen for acute renal failure and periarteritis nodosa. Angiography findings confirmed this diagnosis. Ultrasound scan revealed large tricuspid valve vegetation, as well as minute vegetation on the right ventricular wall. All vegetation disappeared after 12 months of immunosuppressive therapy. Serology findings for lupus were negative. All clinical and laboratory findings strongly support the hypothesis that this previously undescribed heart involvement is caused by PAN.
Dello Strologo
L
L
Department of Nephrology and Dialysis, Bambino Gesù Children's Hospital, Rome, Italy.
Malena
S
S
De Simone
G
G
Barsotti
P
P
Rizzoni
G
G
D058186:Acute Kidney Injury / Q000209:etiology; D000293:Adolescent; D003520:Cyclophosphamide / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000175:diagnosis; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000188:drug therapy; D011241:Prednisone / Q000627:therapeutic use; D014261:Tricuspid Valve / Q000000981:diagnostic imaging*; D014463:Ultrasonography
D003520:Cyclophosphamide; D011241:Prednisone