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Lupus
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Development of polyarteritis nodosa in the course of inactive systemic lupus erythematosus

J. Vivancos

Systemic Autoimmune Diseases Unit, Department of Medicine, Hospital Clinic i Provincial, C/ Villarroel 170, 08036 Barcelona, Spain

J. Soler-Carrillo

Systemic Autoimmune Diseases Unit, Department of Medicine, Hospital Clinic i Provincial, C/ Villarroel 170, 08036 Barcelona, Spain

J. Ara-del Rey

Systemic Autoimmune Diseases Unit, Department of Medicine, Hospital Clinic i Provincial, C/ Villarroel 170, 08036 Barcelona, Spain

J. Font

Systemic Autoimmune Diseases Unit, Department of Medicine, Hospital Clinic i Provincial, C/ Villarroel 170, 08036 Barcelona, Spain

A 63-year-old woman developed a clinical and pathological picture of polyarteritis nodosa (PAN). Systemic lupus erythematosus (SLE) had been diagnosed 12 years previously, and she had been symptom and therapy-free for a decade. Development of 'primary' systemic vasculitis in SLE patients has rarely been described previously and the significance of this association remains unclear. The possible explanation for this transition from one connective tissue disease to another is discussed.

Key Words: polyarteritis nodosa • necrotising systemic vasculitis

Lupus, Vol. 4, No. 6, 494-495 (1995)
DOI: 10.1177/096120339500400614
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