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iConcept Journal of Emerging Issues in Medical Diagnosis and Treatment
Title
iConcept Journal of Emerging Issues in Medical Diagnosis and Treatment
Editor
Eugenia Giannopoulou
ISSN
2309-3528
Publisher
iConcept Press

iConcept Journal of Emerging Issues in Medical Diagnosis and Treatment

Polyarteritis Nodosa Involving the Hard Palate: A Case Report

by Eleonora Ortu, Davide Pietropaoli, Giuseppe Marzo, Mario Giannoni and Annalisa Monaco

Volume: 3 (2014); Issue: 5

Abstract

Polyarteritis nodosa is a rare disease resulting from blood vessel inflammation (vasculitis), causing damage to organ systems and featuring an extended range of possible symptoms. The cause of polyarteritis nodosa is unknown. There are no specific laboratory tests for the diagnosis of PAN. The American College of Rheumatology has established criteria for distinguishing PAN from other forms of vasculitis. In the present manuscript is described the presentation and treatment of polyarteritis nodosa involving the hard palate in an 88-year-old Caucasian woman. An oral examination revealed a white area, not raised, occupying more than half of the hard palate. Clinical and laboratory analyses showed stenosis of the greater palatine artery, which led to necrosis of the affected area. The pathogenesis of this unusual location is unknown, and to the best of our knowledge has not been described in literature to date. At one year after pharmacological treatment, the lesion has regressed completely. We successfully treated a case of polyarteritis nodosa via a pharmacological approach, which is described here. Routine blood tests and biopsies are essential for diagnosis and to avoid delays in treatment and possible organ damage.

Author Details

Eleonora Ortu
Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy, Italy
Davide Pietropaoli
Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy, Italy
Giuseppe Marzo
Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy, Italy
Mario Giannoni
Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy, Italy
Annalisa Monaco
Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy, Italy

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