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CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 2  |  Page : 109-111

Cutaneous polyarteritis in adolescence with metabolic syndrome evolving into systemic PAN: A rare presentation


1 Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
2 Department of Pediatrics, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Sandeep Lahiry
Department of Pharmacology, Institute of Post Graduate Medical Education and Research, 244 B, A. J. C. Bose Road, Kolkata - 700 020, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-3069.198370

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Cutaneous Polyarteritis nodosa (cPAN) is a rare vasculitis characterized by necrotizing arteritis of small to medium-sized arteries. It manifests as skin ulceration, hypertension, abdominal pain, digital gangrene, and subcutaneous nodules. There is no specific serological marker for diagnosis and confirmation is based on histopathology. Most common mode of pharmacological therapy includes corticosteroid or cyclophosphamide, along with antimicrobials for secondary infection prevention and plasmapheresis. Here, we present a case of a 15-year old boy with multiple skin ulceration, digital gangrene with few nonspecific signs and symptoms, diagnosed as a case of cPAN with features of metabolic syndrome initially, and, underwent regular therapy and follow-up.


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