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|Year : 2017 | Volume
| Issue : 2 | Page : 140-141
Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia
S Chauhan1, A Chauhan2
1 Pine Castle, Near Mist Chamber, Khalini, Shimla, India
2 Department of Ophthalmology, Dr. Yashwant Singh Parmar Government Medical College, Sirmour, Himachal Pradesh, India
|Date of Web Publication||10-Apr-2017|
Pine Castle, Near Mist Chamber, Khalini, Shimla
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Chauhan S, Chauhan A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia. J Postgrad Med 2017;63:140-1
We read with great interest the excellent article by Shukla and Aggarwal. We applaud the authors on diagnosing and managing the rare entity but would like to make important additions. Examination of the oral cavity and the eye should also have been carried out in this patient as these two major organ systems can also be affected and hence need a special mention.
Oral involvement in the form of necrosis of the tongue with the involvement of soft/hard palates and the salivary gland has been reported  while ocular involvement can be in the form of scleritis, peripheral ulcerative keratitis, and retinal vasculitis. Unfortunately, most of the health institutes tend not to focus on such examination as adequate knowledge is not shared on the subject.
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Conflicts of interest
There are no conflicts of interest.
| :: References|| |
Shukla A, Aggarwal A. Polyarteritis nodosa presenting as peripheral vascular disease and acute limb ischemia. J Postgrad Med 2017;63:47-9.
] [Full text]
Ciurtin C, Shirodaria A, Manson J, MacMillan R. Polyarteritis nodosa associated with necrosis of the tongue: A rare presentation in an adult patient. Br J Oral Maxillofac Surg 2015;53:883-5.
Foster CS. Ocular manifestations of the potentially lethal rheumatologic and vasculitic disorders. J Fr Ophtalmol 2013;36:526-32.
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|[Pubmed] | [DOI]|