To the Editor: We describe a patient who had polyarteritis nodosaassociated with parvovirus B19 infection that regressed completelywith intravenous immune globulin therapy.
A 33-year-old woman was seen because of asthenia, fever (temperature,40°C), palpable purpura (Figure 1), intense myalgia, paresthesiasalong the median nerves and right peroneal nerve, and polyarthritisof the hand joints. Her younger son had had a febrile exanthemthree weeks earlier.
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Figure 1. Cutaneous Purpuric, Palpable Nodules on the Lower Arm.
Enzyme-linked immunosorbent assay for serologic evidence ofparvovirus B19, performed on day 4 of the illness, was positivefor specific IgM and IgG . . . [Full Text of this Article]
References
This article has been cited by other articles:
Belizna, C. C., Hamidou, M. A., Levesque, H., Guillevin, L., Shoenfeld, Y.
(2009). Infection and vasculitis. Rheumatology (Oxford)
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Chevrel, G., Borsotti, J. P., Miossec, P.
(2003). Lack of evidence for a direct involvement of muscle infection by parvovirus B19 in the pathogenesis of inflammatory myopathies: a follow-up study. Rheumatology (Oxford)
42: 349-352
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