Korean J Gastrointest Endosc > Volume 41(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(2): 113-117.
소장에 국한된 결절성 다발성 동맥염 1예
임병훈ㆍ장지선ㆍ김정원*ㆍ장세진ㆍ김성훈ㆍ방제소ㆍ양수현ㆍ변종훈
서울보훈병원 소화기내과, *한림대학교 의과대학 강남성심병원 병리학교실, 울산대학교 의과대학 서울아산병원 병리학교실
Polyarteritis Nodosa Localized in Small Intestine: A Case Report
Byung Hoon Lim, M.D., Ji Sun Jang, M.D., Jung Won Kim, M.D.*, Se Jin Jang, M.D., Sung Hoon Kim, M.D., Jei So Bang, M.D., Soo Hyun Yang, M.D. and Jong Hoon Byun, M.D.
Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology, *Hallym University Medical Center, Hallym University College of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract
Polyarteritis nodosa is a systemic necrotizing vasculitis that affects mainly small and medium-sized arteries that involve multiple organs. In addition to the systemic involvement of classical vasculitis, localized vasculitis involves blood vessels within a confined vascular distribution or single organ without clinical evidence of generalized inflammation. Localized vasculitis of the gastrointestinal tract is a rare entity. In particular, a limited involvement of the small bowel is an unusual manifestation of polyarteritis nodosa. In this report, we describe a case of biopsy-proven polyarteritis nodosa presenting as small bowel bleeding without other systemic manifestations. (Korean J Gastrointest Endosc 2010;41:113-117)
Key Words: Polyarteritis nodosa, Localized vasculitis, Small bowel
주요어: 결절성 다발성 동맥염, 국소성 혈관염, 소장
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