I131-レノグラムおよび血管撮影により診断された結節性多発性動脈炎の1例

Abstract

Polyarteritis nodosa is a necrotizing arteritis usually affecting the medium-sized and small arteries as well as the arterioles. Although any organ may be involved, the viscera are most commonly affected. Among them the kidney is most frequently involved of all (more than 80 % of the cases) followed by cardiac and hepatic involvement. The diagnosis of polyarteritis nodosa is usually made clinically and confirmed by muscle biopsy. In our patient, 34-year-old male with hypertension, I[131}-renography and selective angiography were of big help for diagnosis of the disease.