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Polyarteritis.

Last updated Monday, December 27, 2004

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Symptoms

Anatomy

Polyarteritis nodosa (PAN) is a type of vasculitis that affects the small and medium-sized arteries throughout the body. Any tissues or organs can be involved, but PAN usually affects the kidneys, skin, intestines, joints, and nerves. PAN may vary from person to person; some patients have one system involved (nerves or skin, for example) and others may have intestinal or kidney involvement.

Symptoms

The general symptoms of PAN include fever, muscle aches, muscle weakness, weight loss, and general fatigue. Other symptoms depend on which organs and tissues are affected. Skin involvement can cause rashes, bruising, purplish or blue mottled skin over the lower legs, skin ulcers, and gangrene. Involvement of the gastrointestinal system can cause severe abdominal pain and even bowel rupture. If the kidneys are affected, high blood pressure and severe kidney disease may develop. Sudden pain and tingling in the hands, arms, feet, or legs can occur if the nerves are affected. Nerve involvement also can cause muscle weakness, loss of feeling, or even paralysis of the affected limb. Blockage of vital arteries can cause strokes or heart attacks.

Some people have a mild form of PAN that causes only a few problems. Other people have severe, widespread disease that causes serious problems. Therefore, it is important that PAN be diagnosed early, because with the proper treatment it usually can be controlled, and widespread damage to organs can be prevented.


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