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Wunderlich syndrome as a rare complication of polyarteritis nodosa: a case report

Oliveira, D ; Martins, A ; Martins, F ; Rato, M ; Pinheiro, F ; Fonseca, D ; Vaz, C ; Mariz, E ; Costa, L

Reumatismo, 2024-03, Vol.76 (1) [Periódico revisado por pares]

Italy: PAGEPress Publications

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Título:
Wunderlich syndrome as a rare complication of polyarteritis nodosa: a case report
Autor: Oliveira, D ; Martins, A ; Martins, F ; Rato, M ; Pinheiro, F ; Fonseca, D ; Vaz, C ; Mariz, E ; Costa, L
Assuntos: Angiography - adverse effects ; computed tomography ; Hematoma - complications ; Hematoma - therapy ; Hemorrhage - etiology ; Humans ; Kidney Diseases - complications ; Kidney Diseases - therapy ; Male ; Middle Aged ; polyarteritis nodosa ; Polyarteritis Nodosa - complications ; Polyarteritis Nodosa - diagnosis ; Polyarteritis Nodosa - therapy ; retroperitoneal hemorrhage ; spontaneous perirenal hematoma ; Wunderlich syndrome
É parte de: Reumatismo, 2024-03, Vol.76 (1)
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Descrição: Spontaneous subcapsular and perirenal hemorrhage, known as Wunderlich syndrome (WS), is a rare clinical manifestation of polyarteritis nodosa (PAN). We report a case of a 48-year-old male with a history of recurrent episodes of leg muscle tenderness and dysesthesia, bilateral flank pain, painful nodular skin lesions in the lower limbs, weight loss, and difficult-to-control arterial hypertension. The abdominopelvic computed tomography angiography showed a large left perirenal hematoma, leading to the patient's admission to the intensive care unit. After the exclusion of infectious or neoplastic foci, the patient was diagnosed with PAN and started intravenous methylprednisolone pulses with a good response. Since WS is a rare initial clinical manifestation of PAN, an early diagnosis and aggressive treatment will significantly improve clinical outcomes.
Editor: Italy: PAGEPress Publications
Idioma: Inglês

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Wunderlich syndrome as a rare complication of polyarteritis nodosa: a case report

Oliveira, D ; Martins, A ; Martins, F ; Rato, M ; Pinheiro, F ; Fonseca, D ; Vaz, C ; Mariz, E ; Costa, L

Italy: PAGEPress Publications

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