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Rheumatology International
Published in: Rheumatology International 6/2005

01-09-2005 | Case Report

Spontaneous renal laceration as the presenting feature of polyarteritis nodosa in a patient with familial Mediterranean fever after hepatitis A infection

Authors: Ferhan Candan, Semih Ayan, Fikret Tas, Gökhan Gökce, Sahande Elagoz

Published in: Rheumatology International | Issue 6/2005

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Abstract

We report a life-threatening spontaneous renal laceration with no history of bleeding diathesis or any trauma in a patient with FMF after acute hepatitis A virus (HAV) infection. Right nephrectomy was inevitable and histological investigation of the removed right kidney revealed a polyarterits nodosa (PAN). This case underlines the possibility that simultaneous PAN and immunsupressive treatment besides colchicine should be considered for patients with FMF. Also, patients with FMF who are not immune may be vaccinated for HAV which could be a predisposing mechanism for vasculitic hemorrhage.
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Metadata
Title
Spontaneous renal laceration as the presenting feature of polyarteritis nodosa in a patient with familial Mediterranean fever after hepatitis A infection
Authors
Ferhan Candan
Semih Ayan
Fikret Tas
Gökhan Gökce
Sahande Elagoz
Publication date
01-09-2005
Publisher
Springer-Verlag
Published in
Rheumatology International / Issue 6/2005
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-005-0597-7

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