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Polyarteritis in Children

Polyarteritis in Children Abstract • Polyarteritis was diagnosed in three girls, 9 to 10 years old, by kidney and skin biopsies. They were treated with a combination of prednisone (1.5 to 2 mg/kg) and cyclophosphamide (2 mg/kg) for up to 12 months. The illness was severe in all three, complicated by hypertension, seizures, pulmonary infiltrates, renal failure, or hallucinations. All three patients are alive and well with no or minimal residual symptoms two to three years after therapy was discontinued. The treatment with corticosteroids or with a combination of steroids and immunosuppressive drugs seems to improve the prognosis of polyarteritis considerably. (Am J Dis Child 130:534-541, 1976) References 1. Roberts FB, Fetterman GH: Polyarteritis nodosa in infancy . J Pediatr 63:519-529, 1963.Crossref 2. Chamberlain JL, Perry LW: Infantile periarteritis nodosa with coronary and brachial aneurysms: A case diagnosed during life . J Pediatr 78:1039-1042, 1971.Crossref 3. Neale AV: Polyarteritis in childhood . Arch Dis Child 24:224-229, 1949.Crossref 4. Frohnert PO, Sheps SG: Long-term follow-up study of periarteritis nodosa . Am J Med 43:8-14, 1967.Crossref 5. Dornfeld L, Lecky JW, Petter JB: Polyarteritis and intrarenal renal artery aneurysms . JAMA 215:1950-1952, 1971.Crossref 6. Robins JM, Bookstein JJ: Regressing aneurysm in periarteritis nodosa: A report of three cases . Radiology 104:38-42, 1972. 7. Melam H, Patterson R: Periarteritis nodosa: A remission achieved with combined prednisone and azathioprine therapy . Am J Dis Child 121:424-427, 1971. 8. McLain LG, Bookstein JJ, Kelsch RC: Polyarteritis nodosa diagnosed by renal arteriography . J Pediatr 80:1032-1035, 1972.Crossref 9. Chadaĉek Z: Angiographic diagnosis of polyarteritis nodosa of the liver, kidney, and mesentery . Br J Radiol 40:864, 1967.Crossref 10. Dollery CY: Polyarteritis nodosa . Br Med J 1:827-829, 1969.Crossref 11. Rose GA, Spencer H: Polyarteritis nodosa . Q J Med 26:43-67, 1957. 12. Patalano VJ, Sommers SC: Biopsy diagnosis of periarteritis nodosa . Arch Pathol 72:15-19, 1971. 13. Sairanen E, Wasastjerna C: Perarteritis nodosa: A ten-year follow-up study of ten cases . Acta Med Scan 191:501-504, 1972. 14. Hungerland H, Greifelt U: Die Perarteriitis nodosa im Kindesalter . Arch Kinderheilkd 139:12-41, 1950. 15. Goder G: Zur Periarteriitis nodosa im Kindesalter . Z Gesamte Inn Med 11:652-656, 1956. 16. Fager DB, Bigler JA, Simonds JP: Polyarteritis nodosa in infancy and childhood . J Pediatr 39:65-79, 1951.Crossref 17. Götz EG: Panarteriitis nodosa der Koronargefässe bei einem neuneinhalb Monate alten Kind . Klin Paediatr 184:288-293, 1972. 18. Leff R, Harrer WV, Baylis JC, et al: Polyarteritis nodosa in two siblings . Am J Dis Child 121:67-70, 1971. 19. Benyo RB, Perrin EV: Periarteritis nodosa in infancy . Am J Dis Child 116:539-544, 1968. 20. Tang PHL, Segal AJ: Polyarteritis nodosa of infancy: Fatal late complications . JAMA 217:1666-1670, 1971.Crossref 21. Fordham CC, Epstein FH, Huffines WD, et al: Polyarteritis and acute post-streptococcal glomerulonephritis . Ann Intern Med 61:89-96, 1964.Crossref 22. Levin DC: Pulmonary abnormalities in the necrotizing vasculitides and their rapid response to steroids . Radiology 97:521-526, 1970. 23. Monro-Fauve H: Necrotizing arteritis of the coronary vessels in infancy . Pediatrics 23:914-916, 1959. 24. Kühner U, Ackermann R, Frohmüller H: Zur Diagnose und Therapie einer Panarteriitis im Kindesalter . Klin Paediatr 184:399-408, 1972. 25. DeBeukelaer MM, Travis LB, Roberts DK: Polyarteritis nodosa and pregnancy: Report of a successful outcome . South Med J 66:613-615, 1973.Crossref 26. Patalano VJ, Sommers SC: Biopsy diagnosis of periarteritis nodosa . Arch Pathol 72:15-19, 1971. 27. Essinger A, Bonard M: Panarteritis nodosa, and angiographic entity: Presentation of two cases . Br J Radiol 44:184-189, 1971.Crossref 28. Fleming RJ, Stern LZ: Multiple intraparenchymal renal aneurysms in polyarteritis nodosa . Radiology 84:100-106, 1965. 29. Herschmann A, Blum R, Lee YC: Angiographic findings in polyarteritis nodosa . Radi ology 94:147-151, 1970. 30. Heptinstall RH: Pathology of the Kidney . Boston, Little Brown & Co, 1974. 31. Lacutier MA: A case of Schönlein-Henoch syndrome with myocardial necrosis . J Clin Pa thol 5:336-338, 1952.Crossref 32. Fall WF Jr, Ford KL, Ashworth CT, et al: Renal vasculitis in a nonfatal case of Henoch-Schönlein purpura . Ann Intern Med 64:1276-1280, 1966.Crossref 33. Vernier RL, Worthen HG, Peterson RD, et al: Anaphylactoid purpura: I. Pathology of the skin and kidney and frequency of streptococcal infections . Pediatrics 27:181-197, 1961. 34. Ladefoged J, Nielsen G, Raaschou F, et al: Acute anuria due to polyarteritis nodosa . Am J Med 46:827-831, 1969.Crossref 35. Knowles HE, Zeek PM, Blankenhorn MA: Studies on necrotizing angiitis . Arch Intern Med 92:789-796, 1953.Crossref 36. Harrison CV, Loughridge LW, Milne MD: Acute oliguric renal failure in acute glomerulonephritis and polyarteritis nodosa . Q J Med 33:39-54, 1964. 37. Wainwright J, Dawson J: The renal appearances in the microscopical form of periarteritis nodosa . J Pathol Bacteriol 62:189-197, 1950.Crossref 38. Zentner G, Menahem S: Polyarteritis nodosa in an infant: A problem of diagnosis . Aust Paediatr J 9:35-42, 1973. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Polyarteritis in Children

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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1976.02120060080015
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Abstract

Abstract • Polyarteritis was diagnosed in three girls, 9 to 10 years old, by kidney and skin biopsies. They were treated with a combination of prednisone (1.5 to 2 mg/kg) and cyclophosphamide (2 mg/kg) for up to 12 months. The illness was severe in all three, complicated by hypertension, seizures, pulmonary infiltrates, renal failure, or hallucinations. All three patients are alive and well with no or minimal residual symptoms two to three years after therapy was discontinued. The treatment with corticosteroids or with a combination of steroids and immunosuppressive drugs seems to improve the prognosis of polyarteritis considerably. (Am J Dis Child 130:534-541, 1976) References 1. Roberts FB, Fetterman GH: Polyarteritis nodosa in infancy . J Pediatr 63:519-529, 1963.Crossref 2. Chamberlain JL, Perry LW: Infantile periarteritis nodosa with coronary and brachial aneurysms: A case diagnosed during life . J Pediatr 78:1039-1042, 1971.Crossref 3. Neale AV: Polyarteritis in childhood . Arch Dis Child 24:224-229, 1949.Crossref 4. Frohnert PO, Sheps SG: Long-term follow-up study of periarteritis nodosa . Am J Med 43:8-14, 1967.Crossref 5. Dornfeld L, Lecky JW, Petter JB: Polyarteritis and intrarenal renal artery aneurysms . JAMA 215:1950-1952, 1971.Crossref 6. Robins JM, Bookstein JJ: Regressing aneurysm in periarteritis nodosa: A report of three cases . Radiology 104:38-42, 1972. 7. Melam H, Patterson R: Periarteritis nodosa: A remission achieved with combined prednisone and azathioprine therapy . Am J Dis Child 121:424-427, 1971. 8. McLain LG, Bookstein JJ, Kelsch RC: Polyarteritis nodosa diagnosed by renal arteriography . J Pediatr 80:1032-1035, 1972.Crossref 9. Chadaĉek Z: Angiographic diagnosis of polyarteritis nodosa of the liver, kidney, and mesentery . Br J Radiol 40:864, 1967.Crossref 10. Dollery CY: Polyarteritis nodosa . Br Med J 1:827-829, 1969.Crossref 11. Rose GA, Spencer H: Polyarteritis nodosa . Q J Med 26:43-67, 1957. 12. Patalano VJ, Sommers SC: Biopsy diagnosis of periarteritis nodosa . Arch Pathol 72:15-19, 1971. 13. Sairanen E, Wasastjerna C: Perarteritis nodosa: A ten-year follow-up study of ten cases . Acta Med Scan 191:501-504, 1972. 14. Hungerland H, Greifelt U: Die Perarteriitis nodosa im Kindesalter . Arch Kinderheilkd 139:12-41, 1950. 15. Goder G: Zur Periarteriitis nodosa im Kindesalter . Z Gesamte Inn Med 11:652-656, 1956. 16. Fager DB, Bigler JA, Simonds JP: Polyarteritis nodosa in infancy and childhood . J Pediatr 39:65-79, 1951.Crossref 17. Götz EG: Panarteriitis nodosa der Koronargefässe bei einem neuneinhalb Monate alten Kind . Klin Paediatr 184:288-293, 1972. 18. Leff R, Harrer WV, Baylis JC, et al: Polyarteritis nodosa in two siblings . Am J Dis Child 121:67-70, 1971. 19. Benyo RB, Perrin EV: Periarteritis nodosa in infancy . Am J Dis Child 116:539-544, 1968. 20. Tang PHL, Segal AJ: Polyarteritis nodosa of infancy: Fatal late complications . JAMA 217:1666-1670, 1971.Crossref 21. Fordham CC, Epstein FH, Huffines WD, et al: Polyarteritis and acute post-streptococcal glomerulonephritis . Ann Intern Med 61:89-96, 1964.Crossref 22. Levin DC: Pulmonary abnormalities in the necrotizing vasculitides and their rapid response to steroids . Radiology 97:521-526, 1970. 23. Monro-Fauve H: Necrotizing arteritis of the coronary vessels in infancy . Pediatrics 23:914-916, 1959. 24. Kühner U, Ackermann R, Frohmüller H: Zur Diagnose und Therapie einer Panarteriitis im Kindesalter . Klin Paediatr 184:399-408, 1972. 25. DeBeukelaer MM, Travis LB, Roberts DK: Polyarteritis nodosa and pregnancy: Report of a successful outcome . South Med J 66:613-615, 1973.Crossref 26. Patalano VJ, Sommers SC: Biopsy diagnosis of periarteritis nodosa . Arch Pathol 72:15-19, 1971. 27. Essinger A, Bonard M: Panarteritis nodosa, and angiographic entity: Presentation of two cases . Br J Radiol 44:184-189, 1971.Crossref 28. Fleming RJ, Stern LZ: Multiple intraparenchymal renal aneurysms in polyarteritis nodosa . Radiology 84:100-106, 1965. 29. Herschmann A, Blum R, Lee YC: Angiographic findings in polyarteritis nodosa . Radi ology 94:147-151, 1970. 30. Heptinstall RH: Pathology of the Kidney . Boston, Little Brown & Co, 1974. 31. Lacutier MA: A case of Schönlein-Henoch syndrome with myocardial necrosis . J Clin Pa thol 5:336-338, 1952.Crossref 32. Fall WF Jr, Ford KL, Ashworth CT, et al: Renal vasculitis in a nonfatal case of Henoch-Schönlein purpura . Ann Intern Med 64:1276-1280, 1966.Crossref 33. Vernier RL, Worthen HG, Peterson RD, et al: Anaphylactoid purpura: I. Pathology of the skin and kidney and frequency of streptococcal infections . Pediatrics 27:181-197, 1961. 34. Ladefoged J, Nielsen G, Raaschou F, et al: Acute anuria due to polyarteritis nodosa . Am J Med 46:827-831, 1969.Crossref 35. Knowles HE, Zeek PM, Blankenhorn MA: Studies on necrotizing angiitis . Arch Intern Med 92:789-796, 1953.Crossref 36. Harrison CV, Loughridge LW, Milne MD: Acute oliguric renal failure in acute glomerulonephritis and polyarteritis nodosa . Q J Med 33:39-54, 1964. 37. Wainwright J, Dawson J: The renal appearances in the microscopical form of periarteritis nodosa . J Pathol Bacteriol 62:189-197, 1950.Crossref 38. Zentner G, Menahem S: Polyarteritis nodosa in an infant: A problem of diagnosis . Aust Paediatr J 9:35-42, 1973.

Journal

American Journal of Diseases of Children – American Medical Association

Published: May 1, 1976

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