Abstract
We report a case of a 60-year-old female with cutaneous polyarteritis nodosa (CPN) of the left ankle, accompanied by elevated serum interleukin (IL)-6 levels. Computed tomographic angiography revealed severe narrowing of medium-sized arteries in her left leg. Destructive arthropathy in the left ankle was identified by X-ray and magnetic resonance imaging. This is the first Japanese case of severe CPN complicated by destructive arthropathy. Quantification of serum IL-6 might be useful in diagnosis and evaluation of CPN.
MeSH terms
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Ankle / diagnostic imaging*
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Ankle / pathology
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Ankle Joint / diagnostic imaging*
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Ankle Joint / pathology
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Arteriosclerosis / blood
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Arteriosclerosis / complications*
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Arteriosclerosis / diagnostic imaging
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Arteriosclerosis / pathology
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Constriction, Pathologic / blood
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Constriction, Pathologic / complications
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Constriction, Pathologic / diagnostic imaging
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Constriction, Pathologic / pathology
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Female
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Humans
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Interleukin-6 / blood*
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Leg / diagnostic imaging
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Leg / pathology
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Middle Aged
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Polyarteritis Nodosa / blood
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Polyarteritis Nodosa / complications*
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Polyarteritis Nodosa / diagnostic imaging
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Polyarteritis Nodosa / pathology
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Radiography
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Skin / pathology*