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==Historical Perspective==
==Historical Perspective==
* Polyarteritis nodosa is also called '''[[Adolph Kussmaul|Kussmaul]] disease''' or '''Kussmaul-Meier disease''' after Kussumaul and Maier, who first described the syndrome in 1866.
* Polyarteritis nodosa was first described macroscopically by the pathologist K. Rokitansky in 1842.  
* PAN was first described macroscopically by the pathologist K. Rokitansky in 1842.  
** He described the presence of [[aneurysms]] macroscopically and therefore missed the [[inflammatory]] nature of this [[disease]] <ref name="pmid15151275">{{cite journal| author=Tesar V, Kazderová M, Hlavácková L| title=Rokitansky and his first description of polyarteritis nodosa. | journal=J Nephrol | year= 2004 | volume= 17 | issue= 1 | pages= 172-4 | pmid=15151275 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15151275  }} </ref>.
** He described the presence of [[aneurysms]] macroscopically and therefore missed the [[inflammatory]] nature of this [[disease]] <ref name="pmid15151275">{{cite journal| author=Tesar V, Kazderová M, Hlavácková L| title=Rokitansky and his first description of polyarteritis nodosa. | journal=J Nephrol | year= 2004 | volume= 17 | issue= 1 | pages= 172-4 | pmid=15151275 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15151275  }} </ref>.


* PAN was better described in 1866 by A. Kussmaul and R. Maier who provided a clinical description of a patient.
* Polyarteritis nodosa was better described in 1866 by A. Kussmaul and R. Maier who provided a clinical description of a patient.
** He included a [[post-mortem]] histological examination of [[blood vessels]] of the patient, arriving at a diagnosis of [[vasculitis]].  
** He included a [[post-mortem]] histological examination of [[blood vessels]] of the patient, arriving at a diagnosis of [[vasculitis]].  
* Kussmaul and Maier introduced the term “[[periarteritis nodosa]]” to describe the [[nodules]] observed in intermediate-sized vascular [[arteries]] but this term was later changed to “[[Polyarteritis nodosa]]” when these [[nodules]] showed the involvement of all layers of the [[artery]] <ref name="pmid14579038">{{cite journal| author=Kluge FJ, Matteson EL| title=[Think clearly, be sincere, act calmly: Adolf Kussmaul (1822-1902) un his significance for medicine in the 21st century]. | journal=Z Rheumatol | year= 2003 | volume= 62 | issue= 5 | pages= 484-90 | pmid=14579038 | doi=10.1007/s00393-003-0536-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14579038  }} </ref>.
* Kussmaul and Maier introduced the term “[[periarteritis nodosa]]” to describe the [[nodules]] observed in intermediate-sized vascular [[arteries]] but this term was later changed to “[[Polyarteritis nodosa]]” when these [[nodules]] showed the involvement of all layers of the [[artery]] <ref name="pmid14579038">{{cite journal| author=Kluge FJ, Matteson EL| title=[Think clearly, be sincere, act calmly: Adolf Kussmaul (1822-1902) un his significance for medicine in the 21st century]. | journal=Z Rheumatol | year= 2003 | volume= 62 | issue= 5 | pages= 484-90 | pmid=14579038 | doi=10.1007/s00393-003-0536-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14579038  }} </ref>.


* In 1931, Dr. Lindberg became the first person to recognize PAN limited to [[skin]] <ref name="pmid21008159">{{cite journal| author=BOSS J| title=[Not Available]. | journal=Schweiz Z Tuberk | year= 1945 | volume= 2 | issue= 2 | pages= 89-108 | pmid=21008159 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21008159  }} </ref>. In 1970, Trepo and Thivolet reported the association of PAN with [[Hepatitis B virus|hepatitis B viru]]<nowiki/>s (HBV) infection <ref name="pmid4396040">{{cite journal| author=Trepo C, Thivolet J| title=Hepatitis associated antigen and periarteritis nodosa (PAN). | journal=Vox Sang | year= 1970 | volume= 19 | issue= 3 | pages= 410-1 | pmid=4396040 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4396040  }} </ref>, later it became obvious that most PAN cases were associated with HBV.  
* In 1931, Dr. Lindberg became the first person to recognize polyarteritis nodosa limited to [[skin]] <ref name="pmid21008159">{{cite journal| author=BOSS J| title=[Not Available]. | journal=Schweiz Z Tuberk | year= 1945 | volume= 2 | issue= 2 | pages= 89-108 | pmid=21008159 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21008159  }} </ref>.
The etiology of Polyarteritis nodosa remains unknown till date. There are no clear cut causative factors of the [[disease]], no definitive [[serological]] diagnostic testing for it and no specified [[pathognomonic]] features for polyarteritis nodosa. Therefore, the term “Polyarteritis Nodosa” is often used for any immunologically mediated [[systemic]] vasculitis.
* In 1970, Trepo and Thivolet reported the association of polyarteritis nodosa with [[Hepatitis B virus|hepatitis B viru]]<nowiki/>s (HBV) infection <ref name="pmid4396040">{{cite journal| author=Trepo C, Thivolet J| title=Hepatitis associated antigen and periarteritis nodosa (PAN). | journal=Vox Sang | year= 1970 | volume= 19 | issue= 3 | pages= 410-1 | pmid=4396040 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4396040  }} </ref>, later it became obvious that most polyarteritis nodosa cases were associated with HBV.  
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 19:46, 16 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Ali Poyan Mehr, M.D. [2] Associate Editor(s)-in-Chief: Olufunmilola Olubukola M.D.[3] Cafer Zorkun, M.D., Ph.D. [4]; Haritha Machavarapu, M.B.B.S.

Overview

Historical Perspective

  • Polyarteritis nodosa was first described macroscopically by the pathologist K. Rokitansky in 1842.
  • Polyarteritis nodosa was better described in 1866 by A. Kussmaul and R. Maier who provided a clinical description of a patient.
  • Kussmaul and Maier introduced the term “periarteritis nodosa” to describe the nodules observed in intermediate-sized vascular arteries but this term was later changed to “Polyarteritis nodosa” when these nodules showed the involvement of all layers of the artery [2].
  • In 1931, Dr. Lindberg became the first person to recognize polyarteritis nodosa limited to skin [3].
  • In 1970, Trepo and Thivolet reported the association of polyarteritis nodosa with hepatitis B virus (HBV) infection [4], later it became obvious that most polyarteritis nodosa cases were associated with HBV.

References

  1. Tesar V, Kazderová M, Hlavácková L (2004). "Rokitansky and his first description of polyarteritis nodosa". J Nephrol. 17 (1): 172–4. PMID 15151275.
  2. Kluge FJ, Matteson EL (2003). "[Think clearly, be sincere, act calmly: Adolf Kussmaul (1822-1902) un his significance for medicine in the 21st century]". Z Rheumatol. 62 (5): 484–90. doi:10.1007/s00393-003-0536-5. PMID 14579038.
  3. BOSS J (1945). "[Not Available]". Schweiz Z Tuberk. 2 (2): 89–108. PMID 21008159.
  4. Trepo C, Thivolet J (1970). "Hepatitis associated antigen and periarteritis nodosa (PAN)". Vox Sang. 19 (3): 410–1. PMID 4396040.


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