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PERIARTERITIS NODOSA: Study of Chronicity and Recovery, with Report of Two Cases

PERIARTERITIS NODOSA: Study of Chronicity and Recovery, with Report of Two Cases Abstract THE PURPOSE of this communication is to reevaluate the prognosis in periarteritis nodosa in the light of the reports in the literature and the personal experiences noted herein. In the past, the course of the disease has been regarded as leading to a fatal termination. This, undoubtedly, is the outcome in the majority of instances. There have been cases, however, in which the disease has taken a chronic course, others with long, complete remissions and a few in which recovery has been reported. Two cases in which recovery occurred are presented. In 1852, von Rokitansky1 first described the pathologic changes of the disease entity periarteritis nodosa. It remained for Kussmaul, however, to recognize it as a clinical syndrome. With Maier,2 in 1866, he reported 2 cases of a "hitherto undescribed peculiar disease of the arteries which is accompanied by Bright's disease and is a rapidly progressive, general paralysis References 1. von Rokitansky, C.: Ueber einige der wichtigsten Krankheiten der Arterien , Denkschr. d. k. Akad. d. Wissensch. 4:1, 1852. 2. Kussmaul, A., and Maier, R.: Ueber eine bisher nicht beschriebene eigenthümliche Arterienerkrankung (Periarteritis nodosa), die mit Morbus Brightii und rapid fortschreitender allgemeiner Muskellähmung einhergeht , Deutsches Arch. f. klin. Med. 1:484, 1866. 3. Lamb, A. R.: Periarteritis Nodosa: A Clinical and Pathological Review of the Disease , Arch. Int. Med. 14:481 ( (Oct.) ) 1914.Crossref 4. Ophüls, W.: Periarteritis Acuta Nodosa , Arch. Int. Med. 32:870 ( (Dec.) ) 1923.Crossref 5. Gruber, G. B.: Zur Frage der Periarteritis nodosa, mit besonderer Berücksichtigung der Gallenblasen- und Nieren-Beteiligung , Virchows Arch. f. path. Anat. 258:441, 1925.Crossref 6. Singer, H. A.: Periarteritis Nodosa, with Special Reference to the Acute Abdominal Manifestations: Report of Two Cases , Arch. Int. Med. 39:865 ( (June) ) 1927.Crossref 7. Strong, G. F.: Periarteritis Nodosa , Canad. M. A. J. 19:534 ( (Nov.) ) 1928. 8. Curtis, A. C., and Coffey, R. M.: Periarteritis Nodosa: A Brief Review of the Literature and a Report of One Case , Ann. Int. Med. 7:1345 ( (May) ) 1934.Crossref 9. Middleton, W. S., and McCarter, J. C.: Diagnosis of Periarteritis Nodosa , Am. J. M. Sc. 190:308 ( (Sept.) ) 1935.Crossref 10. Spiegel, R.: Clinical Aspects of Periarteritis Nodosa , Arch. Int. Med. 58:993 ( (Dec.) ) 1936.Crossref 11. Harris, A. W.; Lynch, G. W., and O'Hare, J. P.: Periarteritis Nodosa , Arch. Int. Med. 63:1163 ( (June) ) 1939.Crossref 12. Grant, R. T.; Observations on Periarteritis Nodosa , Clin. Sc. 4:245 ( (Oct.) ) 1940. 13. Miller, H. G., and Daley, R.: Clinical Aspects of Polyarteritis Nodosa , Quart. J. Med. 15:255 ( (Oct.) ) 1946.Crossref 14. Klotz, O.: Periarteritis Nodosa , J. M. Research 37:1 ( (Sept.) ) 1917. 15. Haining, R. B., and Kimball, T. S.: Periarteritis Nodosa , Am. J. Path. 10:349 ( (May) ) 1934. 16. Leishman, A. W. D.: The Clinical Diagnosis of Polyarteritis Nodosa , Lancet 1:803 ( (April 3) ) 1937.Crossref 17. Sandler, B. P.: Periarteritis Nodosa: Report of Case Diagnosed Clinically and Confirmed by Necropsy , Am. J. M. Sc. 195:651 ( (May) ) 1938.Crossref 18. Lummis, F. R.: Periarteritis Nodosa , Ann. Int. Med. 10:105 ( (July) ) 1936.Crossref 19. Baker, L. A.: Periarteritis Nodosa, with Report of Two Cases , Ann. Int. Med. 17:223 ( (Aug.) ) 1942.Crossref 20. Weiss, S.: Arteritis: Diseases Associated with Inflammatory Lesions of the Peripheral Arteries , New England J. Med. 225:579 ( (Oct. 9) ) 1941.Crossref 21. Gruber, G. B.: Kasuistik und Kritik der Periarteritis Nodosa , Zentralbl. f. Herz.- u. Gefässkr. 18:145, 1926. 22. Erlandsson, S.: Neurologische Krankheitsbilder bei Periarteritis nodosa , Acta psychiat. et neurol. 6:369, 1931.Crossref 23. Lindberg, K.: Ueber eine subkutane Form der Periarteriitis nodosa mit langwierigem Verlauf , Arb. a. d. path. Inst. d. Univ. Helsingsfors 7:159. 1933. 24. Goldman, B. A.; Dickens, K. L., and Schenken, J. R.: The Apparent Cure of Periarteritis Nodosa with Sulfapyridine , Am. J. M. Sc. 204:443 ( (Sept.) ) 1942.Crossref 25. MacKeith, R.: Localized Subcutaneous Oedema with Weakness of Limb Muscles: Syndrome Due to Polyarteritis Nodosa , Brit. M. J. 1:139 ( (Jan. 29) ) 1944.Crossref 26. Contratto, A. W.: Periarteritis Nodosa: A Report of Two Cases, One with Special Reference to Sensitivity Factors , Arch. Int. Med. 80:567 ( (Nov.) ) 1947.Crossref 27. Goodman, M. J.: Periarteritis Nodosa with Recovery: Report of an Unusual Case Apparently Due to Sensitivity to Sulfadiazine , Ann. Int. Med. 28:181 ( (Jan.) ) 1948.Crossref 28. Powell, R. E., and Pritchard, J. L.: Periarteritis Nodosa, with Report of Case Involving One Kidney , Brit. J. Urol. 4:317 ( (Dec.) ) 1932.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

PERIARTERITIS NODOSA: Study of Chronicity and Recovery, with Report of Two Cases

KLEIN, SANDER PAUL
Archives of Internal Medicine , Volume 84 (6) – Dec 1, 1949
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References (27)

Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1949.00230060140011
Publisher site
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Abstract

Abstract THE PURPOSE of this communication is to reevaluate the prognosis in periarteritis nodosa in the light of the reports in the literature and the personal experiences noted herein. In the past, the course of the disease has been regarded as leading to a fatal termination. This, undoubtedly, is the outcome in the majority of instances. There have been cases, however, in which the disease has taken a chronic course, others with long, complete remissions and a few in which recovery has been reported. Two cases in which recovery occurred are presented. In 1852, von Rokitansky1 first described the pathologic changes of the disease entity periarteritis nodosa. It remained for Kussmaul, however, to recognize it as a clinical syndrome. With Maier,2 in 1866, he reported 2 cases of a "hitherto undescribed peculiar disease of the arteries which is accompanied by Bright's disease and is a rapidly progressive, general paralysis References 1. von Rokitansky, C.: Ueber einige der wichtigsten Krankheiten der Arterien , Denkschr. d. k. Akad. d. Wissensch. 4:1, 1852. 2. Kussmaul, A., and Maier, R.: Ueber eine bisher nicht beschriebene eigenthümliche Arterienerkrankung (Periarteritis nodosa), die mit Morbus Brightii und rapid fortschreitender allgemeiner Muskellähmung einhergeht , Deutsches Arch. f. klin. Med. 1:484, 1866. 3. Lamb, A. R.: Periarteritis Nodosa: A Clinical and Pathological Review of the Disease , Arch. Int. Med. 14:481 ( (Oct.) ) 1914.Crossref 4. Ophüls, W.: Periarteritis Acuta Nodosa , Arch. Int. Med. 32:870 ( (Dec.) ) 1923.Crossref 5. Gruber, G. B.: Zur Frage der Periarteritis nodosa, mit besonderer Berücksichtigung der Gallenblasen- und Nieren-Beteiligung , Virchows Arch. f. path. Anat. 258:441, 1925.Crossref 6. Singer, H. A.: Periarteritis Nodosa, with Special Reference to the Acute Abdominal Manifestations: Report of Two Cases , Arch. Int. Med. 39:865 ( (June) ) 1927.Crossref 7. Strong, G. F.: Periarteritis Nodosa , Canad. M. A. J. 19:534 ( (Nov.) ) 1928. 8. Curtis, A. C., and Coffey, R. M.: Periarteritis Nodosa: A Brief Review of the Literature and a Report of One Case , Ann. Int. Med. 7:1345 ( (May) ) 1934.Crossref 9. Middleton, W. S., and McCarter, J. C.: Diagnosis of Periarteritis Nodosa , Am. J. M. Sc. 190:308 ( (Sept.) ) 1935.Crossref 10. Spiegel, R.: Clinical Aspects of Periarteritis Nodosa , Arch. Int. Med. 58:993 ( (Dec.) ) 1936.Crossref 11. Harris, A. W.; Lynch, G. W., and O'Hare, J. P.: Periarteritis Nodosa , Arch. Int. Med. 63:1163 ( (June) ) 1939.Crossref 12. Grant, R. T.; Observations on Periarteritis Nodosa , Clin. Sc. 4:245 ( (Oct.) ) 1940. 13. Miller, H. G., and Daley, R.: Clinical Aspects of Polyarteritis Nodosa , Quart. J. Med. 15:255 ( (Oct.) ) 1946.Crossref 14. Klotz, O.: Periarteritis Nodosa , J. M. Research 37:1 ( (Sept.) ) 1917. 15. Haining, R. B., and Kimball, T. S.: Periarteritis Nodosa , Am. J. Path. 10:349 ( (May) ) 1934. 16. Leishman, A. W. D.: The Clinical Diagnosis of Polyarteritis Nodosa , Lancet 1:803 ( (April 3) ) 1937.Crossref 17. Sandler, B. P.: Periarteritis Nodosa: Report of Case Diagnosed Clinically and Confirmed by Necropsy , Am. J. M. Sc. 195:651 ( (May) ) 1938.Crossref 18. Lummis, F. R.: Periarteritis Nodosa , Ann. Int. Med. 10:105 ( (July) ) 1936.Crossref 19. Baker, L. A.: Periarteritis Nodosa, with Report of Two Cases , Ann. Int. Med. 17:223 ( (Aug.) ) 1942.Crossref 20. Weiss, S.: Arteritis: Diseases Associated with Inflammatory Lesions of the Peripheral Arteries , New England J. Med. 225:579 ( (Oct. 9) ) 1941.Crossref 21. Gruber, G. B.: Kasuistik und Kritik der Periarteritis Nodosa , Zentralbl. f. Herz.- u. Gefässkr. 18:145, 1926. 22. Erlandsson, S.: Neurologische Krankheitsbilder bei Periarteritis nodosa , Acta psychiat. et neurol. 6:369, 1931.Crossref 23. Lindberg, K.: Ueber eine subkutane Form der Periarteriitis nodosa mit langwierigem Verlauf , Arb. a. d. path. Inst. d. Univ. Helsingsfors 7:159. 1933. 24. Goldman, B. A.; Dickens, K. L., and Schenken, J. R.: The Apparent Cure of Periarteritis Nodosa with Sulfapyridine , Am. J. M. Sc. 204:443 ( (Sept.) ) 1942.Crossref 25. MacKeith, R.: Localized Subcutaneous Oedema with Weakness of Limb Muscles: Syndrome Due to Polyarteritis Nodosa , Brit. M. J. 1:139 ( (Jan. 29) ) 1944.Crossref 26. Contratto, A. W.: Periarteritis Nodosa: A Report of Two Cases, One with Special Reference to Sensitivity Factors , Arch. Int. Med. 80:567 ( (Nov.) ) 1947.Crossref 27. Goodman, M. J.: Periarteritis Nodosa with Recovery: Report of an Unusual Case Apparently Due to Sensitivity to Sulfadiazine , Ann. Int. Med. 28:181 ( (Jan.) ) 1948.Crossref 28. Powell, R. E., and Pritchard, J. L.: Periarteritis Nodosa, with Report of Case Involving One Kidney , Brit. J. Urol. 4:317 ( (Dec.) ) 1932.Crossref

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Archives of Internal Medicine – American Medical Association

Published: Dec 1, 1949

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