September 1959

Perirenal Hematoma Secondary to Polyarteritis NodosaReport of a Case and Review of the Literature

Author Affiliations

Grosse Pointe Farms, Mich.

AMA Arch Intern Med. 1959;104(3):421-426. doi:10.1001/archinte.1959.00270090075013

Since the time Rokitansky first reported, in 1852, his new disease of blood vessels with a clinical and pathological study of three cases and Kussmaul and Maier, in 1866, provided a complete description, including histological features, of the disease which they termed periarteritis (polyarteritis) nodosa, several hundred cases have subsequently been described in the English literature and, including foreign sources, perhaps well over a thousand. Despite this ever-growing accumulation of case material, the etiology, pathogenesis, and treatment of this disease remain to be elucidated. Excellent reviews of current viewpoints regarding the nature of polyarteritis and characterization of clinical features, as gleaned from large series of cases, have been presented by Nuzum and Nuzum,1 Mowrey and Lundberg,2 and Rose and Spencer.3

Perirenal hematoma as a complication of polyarteritis nodosa was first reported by Schmidt,4 in 1908. Since that time, 24 other cases 5-28 have appeared in the English and foreign literature.

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