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August 1982

Polyarteritis Nodosa After HBsAg Hepatitis in a Patient Undergoing Hemodialysis: Manifestation and Response to Therapy

Author Affiliations

From the Renal Sections, Departments of Medicine, Lemuel Shattuck Hospital (Drs Gehr, Chopra, and Chung) and Veterans Administration Medical Center (Dr Hamburger), Boston.

Arch Intern Med. 1982;142(8):1554-1556. doi:10.1001/archinte.1982.00340210152027

Polyarteritis nodosa developed in one of 34 patients undergoing long-term maintenance hemodialysis with persistent hepatitis B surface antigenemia. Exacerbation of the baseline hypertension and progressive peripheral neuropathy during the recovery phase of hepatitis B surface antigen hepatitis were the initial features. Poor response to aggressive corticosteroid and immunosuppressive therapy in this patient was in contrast to recent experience in patients undergoing long-term hemodialysis and the general population.

(Arch Intern Med 1982;142:1554-1556)

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