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[Polyarteritis nodosa with ureteric stenosis. Two cases (author's transl)].
Summary
Ureteric stenosis is a potential complication of Polyarteritis Nodosa (PAN). This association may be more common than previously reported, as indicated by abnormal findings in most patients who underwent imaging.
Area of Science:
- Nephrology
- Vascular Medicine
- Urology
Background:
- Polyarteritis Nodosa (PAN) is a systemic vasculitis.
- Ureteric stenosis is a known but potentially under-recognized complication.
Observation:
- Two cases demonstrated a direct link between ureteric stenosis and PAN.
- Literature review identified only four previously reported cases.
Findings:
- Among 75 patients treated for PAN, 11 underwent intravenous urography.
- Ten of these 11 patients showed abnormal intravenous urography results, suggesting a higher prevalence of ureteric stenosis in PAN patients.
Implications:
- The frequency of ureteric stenosis in PAN may be underestimated.
- Intravenous urography should be considered in PAN patients to detect potential ureteric complications.