Hepatitis B related polyarteritis nodosa presenting necrotizing vasculitis in the hepatobiliary system successfully treated with lamivudine, plasmapheresis and glucocorticoid

Internal Medicine

Volumn 45, Issue 3, 2006, Pages 145-149

  Takeshita, Shigeyuki ^a   Nakamura, Hideki ^a   Kawakami, Atsushi ^a   Fukushima, Tetsuya ^a   Gotoh, Takashi ^a   Ichikawa, Tatsuki ^a   Tsujino, Akira ^a   Ida, Hiroaki ^a   Toriyama, Kan ^a   Hayashi, Tomayoshi ^b   Eguchi, Katsumi ^a  

^a NAGASAKI UNIVERSITY   (Japan)

^b NAGASAKI UNIVERSITY HOSPITAL   (Japan)

Author keywords

Alithiasic cholecystitis; Glucocorticoid therapy; Hepatitis B; Lamivudine; Plasmapheresis; Polyarteritis nodosa

Indexed keywords

AMINOTRANSFERASE; ANTIBIOTIC AGENT; C REACTIVE PROTEIN; GLUCOCORTICOID; HEPATITIS B(E) ANTIGEN; INSULIN; LAMIVUDINE; METHYLPREDNISOLONE; PREDNISOLONE; VIRUS DNA;

ADULT; AMINOTRANSFERASE BLOOD LEVEL; ARTICLE; CASE REPORT; CHOLECYSTECTOMY; CHOLECYSTITIS; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; DISEASE ASSOCIATION; DISEASE COURSE; DRUG PULSE THERAPY; ECHOGRAPHY; FEVER; HEPATITIS B; HISTOPATHOLOGY; HUMAN; LAPAROSCOPIC SURGERY; LIVER BIOPSY; LIVER FUNCTION; MALE; MONONEUROPATHY MULTIPLEX; MUSCLE WEAKNESS; NECROTIZING ARTERITIS; NERVE CONDUCTION; NON INSULIN DEPENDENT DIABETES MELLITUS; PARESTHESIA; PERIPHERAL NEUROPATHY; PLASMAPHERESIS; POLYARTERITIS NODOSA; PROTEIN BLOOD LEVEL; STEROID THERAPY; TREATMENT OUTCOME; TREATMENT RESPONSE; VIREMIA;

ANTIVIRAL AGENTS; CHOLECYSTITIS; GALLBLADDER DISEASES; GLUCOCORTICOIDS; HEPATITIS B; HUMANS; LAMIVUDINE; LIVER DISEASES; MALE; MIDDLE AGED; PLASMAPHERESIS; POLYARTERITIS NODOSA;

EID: 33644814137     PISSN: 09182918     EISSN: 13497235     Source Type: Journal    
DOI: 10.2169/internalmedicine.45.1460     Document Type: Article

References (11)

1. Han SH. Extrahepatic manifestations of chronic hepatitis B. Clin Liver Dis 8: 403-418, 2004.
2. Amarapurkar DN, Amarapurkar AD. Extrahepatic manifestations of viral hepatitis. Ann Hepatol 1: 192-195, 2002.
3. Chi ZC, Ma SZ. Rheumatologic manifestations of hepatic diseases. Hepatobiliary Pancreat Dis Int 2: 32-37, 2003.
4. Trepo C, Guillevin L. Polyarteritis nodosa and extrahepatic manifestations of HBV infection: the case against autoimmune intervention in pathogenesis. J Autoimmun 16: 269-274, 2001.
5. Janssen HL, van Zonneveld M, van Nunen AB, Niesters HG, Schalm SW, de Man RA. Polyarteritis nodosa associated with hepatitis B virus infection. The role of antiviral treatment and mutations in the hepatitis B virus genome. Eur J Gastroenterol Hepatol 16: 801-807, 2004.
6. Dienstag JL. Hepatitis B as an immune complex disease. Semin Liver Dis 1: 45-57, 1981.
7. Guillevin L. Treatment of polyarteritis nodosa and Churg-Strauss angiitis: indications of plasma exchange. Results of three prospective trials in 162 patients. The Cooperative Study Group for the Study of Polyarteritis Nodosa. Prog Clin Biol Res 337: 309-317, 1990.
8. Guillevin L, Lhote F. Treatment of polyarteritis nodosa and Churg-Strauss syndrome: indications of plasma exchanges. Transfus Sci 15: 371-388, 1994.
9. Deleaval P, Stadler P, Descombes E, et al. Life-threatening complications of hepatitis B virus-related polyarteritis nodosa developing despite interferon-alpha2b therapy: successful treatment with a combination of interferon, lamivudine, plasma exchanges and steroids. Clin Rheumatol 20: 290-292, 2001.
10. Erhardt A, Sagir A, Guillevin L, Neuen-Jacob E, Haussinger D. Successful treatment of hepatitis B virus associated polyarteritis nodosa with a combination of prednisolone, alpha-interferon and lamivudine. J Hepatol 33: 677-683, 2000.
11. Guillevin L, Mahr A, Cohen P, et al. Short-term corticosteroids then lamivudine and plasma exchanges to treat hepatitis B virus-related polyarteritis nodosa. Arthritis Rheum 51: 482-487, 2004.