Case Report

Polyarteritis Nodosa in a Patient with Type 1 Autoimmune Hepatitis

Authors: Olga Giouleme, Alexander Mpoumponaris, Spiridon Aslanidis, Panagiotis Anagnostis, Panagiotis Giamalis, Nikolaos Nikolaidis, Themistoklis Vasiliadis, Nikolaos Evgenidis

Abstract

Polyarteritis nodosa is a systemic necrotizing vasculitis that affects small- and medium-sized arteries. Liver involvement in patients with polyarteritis nodosa has been described, and ranges from asymptomatic elevation of aminotransferases to hepatic aneurysm rupture. We describe the case of a patient with type 1 autoimmune hepatitis and compensated liver cirrhosis who developed classic polyarteritis nodosa, complicated with cytomegalovirus and repeated urinary tract infections. After a long bedridden hospitalization, the patient's condition was stabilized. She is currently in good health, with well-controlled blood pressure, and stable kidney and liver function. To our knowledge, this is the first case report in the literature with concurrent appearance of both diseases.

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