Periarteritis Nodosa With Recovery: Report of an Unusual Case Apparently Due to Sensitivity to Sulfadiazine

Case Reports1 January 1948PERIARTERITIS NODOSA WITH RECOVERY: REPORT OF AN UNUSUAL CASE APPARENTLY DUE TO SENSITIVITY TO SULFADIAZINEMORTON J. GOODMAN, M.D.MORTON J. GOODMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-28-1-181 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPeriarteritis nodosa is a disease which is so uniformly fatal that instances of recovery merit special attention. The case herewith recorded is of particular interest because of its association with sensitivity to sulfadiazine, a drug which is now suspected of being antigenic and capable of producing widespread vascular lesions similar to those of periarteritis nodosa.1, 2, 3 In addition, the extraordinary and rapid recovery of this patient following the administration of full doses of the offending drug makes the following details worthy of record.CASE REPORTJ. S., a 17 year old white American student, was admitted to Multnomah Hospital...Bibliography1. RICH AR: Role of hypersensitivity in pathogenesis of rheumatic fever and periarteritis nodosa, Proc. Inst. Med. Chicago, 1945, xv, 270-280. Google Scholar2. RICH AR: Role of hypersensitivity in periarteritis nodosa, Bull. Johns Hopkins Hosp., 1942, lxxi, 123-140; Ibid., lxxi, 375. Google Scholar3. RICHGREGORY ARJE: Experimental demonstration that periarteritis nodosa is a manifestation of hypersensitivity, Bull. Johns Hopkins Hosp., 1943, lxxii, 65-88. Google Scholar4. LEFTWICH WB: Intradermal test for recognition of hypersensitivity to sulfonamide drugs, Bull. Johns Hopkins Hosp., 1944, lxxiv, 26-48. Google Scholar5. KUSSMAULMAIER AR: Periarteritis nodosa, Deutsch. Arch. klin. Med., 1866, i, 484 (quoted by various authors). Google Scholar6. CARLINGHICKS ERJA: Case of periarteritis nodosa accidentally recognized during life, Lancet, 1923, i, 1001. CARR, J. G.: Periarteritis nodosa, Med. Clin. North Am., 1930, xiii, 1121-1133. TROUTMAN, W. B.: A case of periarteritis nodosa with autopsy findings, Kentucky Med. Jr., 1931, xxiv, 144-145. SCHOTTSTAEDT, W. E. R.: Periarteritis nodosa with remission of symptoms, Calif. and West. Med., 1932, xxxvi, 186-188. CrossrefGoogle Scholar7. GRANT RT: Observations on periarteritis nodosa, Clin. Sci., 1940, iv, 245-275. MASUGI, M., and ISIBASI, T., cited by ERICH URBACH: Allergy, 1943, Grune and Stratton, New York, p. 966. 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LEBOWICHHUNT JHD: Diagnostic significance of eosinophilia in periarteritis nodosa, Am. Jr. Clin. Path., 1940, x, 642-651. RACKEMANN, F. M., and GREEN, J. E.: Periarteritis nodosa and asthma, Trans. Assoc. Am. Phys., 1939, liv, 112-118. CrossrefGoogle Scholar10. WILSONALEXANDER KSHL: Relation of periarteritis nodosa to bronchial asthma and other forms of hypersensitiveness, Jr. Lab. and Clin. Med., 1945, xxx, 195-203. Google Scholar11. COHENKLINEYOUNG MBBSAM: Clinical diagnosis of periarteritis nodosa, Jr. Am. Med. Assoc., 1936, cvii, 1555-1558. CrossrefGoogle Scholar12. HARKAVY J: Vascular allergy, Arch. Int. Med., 1941, lxvii, 709-734. CrossrefGoogle Scholar13. LABBYMCDERMOTT DW: Work to be published. Personal communication. Google Scholar14. GOLDMANDICKINSSCHENKEN BAKLJR: The apparent cure of periarteritis nodosa with sulfapyridine; report of a case, Am. Jr. Med. Sci., 1942, cciv, 443-447. CrossrefGoogle Scholar15. URBACH E: Allergy, 1943, Grune and Stratton, New York, p. 110. Google Scholar16. URBACH E: Experimental basis of deallergization therapy, Jr. Invest. Dermat, 1940, iii, 493-503. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MORTON J. GOODMAN, M.D.Affiliations: Portland, Oregon*Received for publication October 28, 1946.From the Department of Medicine, University of Oregon Medical School, and the Medical Service of Multnomah Hospital. 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NEUSTADT, M.D.THE RELATIONSHIP BETWEEN PERIARTERITIS NODOSA AND SARCOIDOSIS*ALBERT JACKSON, M.D., IRVING KASS, M.D.Eine Agranulocytosebeobachtung im S�uglingsalter, zugleich ein Beitrag zur Morphologie ihrer anaphylaktischen GeneseDilantin SensitivityCase 36012Polyarteritis nodosa of the coronary arteriesCollagen disease: Its relation to hypersensitiveness 1 January 1948Volume 28, Issue 1 Page: 181-187 Keywords Antigens Drug administration Drugs Hospital medicine Lesions Medical services ePublished: 1 December 2008 Issue Published: 1 January 1948 PDF downloadLoading ...