Polyarteritis nodosa physical examination

Polyarteritis nodosa Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Haritha Machavarapu, M.B.B.S.

Physical Examination

• Physical examination plays an important role in diagnosing PAN.
• Arteritis can be suspected with the presence of multiple mononeuropathies.
• Signs of ischemia such as extremity ischemia, hypertension and renovascular disease can help in diagnosing PAN.
• Because polyarteritis nodosa (PAN) is a systemic disease, a complete examination is essential for diagnosis. The emergence of multiple mononeuropathies in persons with PAN is an important clue to an underlying arteritis. Evidence of organ or extremity ischemia, including hypertension and renal insufficiency (renovascular disease), are further clues to the diagnosis. Lung involvement is rare and its presence should prompt a search for an alternative to PAN as the diagnosis.
• Physical examination of patients with [disease name] is usually normal.

OR

• Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
• The presence of [finding(s)] on physical examination is diagnostic of [disease name].
• The presence of [finding(s)] on physical examination is highly suggestive of [disease name].