To the Editor: There is no consensus on the optimal treatmentof polyarteritis nodosa associated with hepatitis B virus (HBV)infection. The potential risk of accelerating viral replicationcomplicates the use of corticosteroids and cytotoxic agents.Benefit from the combined use of plasmapheresis, corticosteroids,and antiviral agents has been reported previously.1 We describea patient with HBV-associated polyarteritis nodosa who was treatedwith this approach.
A 39-year-old woman was transferred to our hospital in December1999 for the treatment of vasculitis. In September 1999, shehad presented with a diffuse pruritic rash, polyarticular symmetricarthritis, abdominal pain, and constitutional symptoms. . . . [Full Text of this Article]
References
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