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Case Reports
. 1996 Nov;72(853):684-5.
doi: 10.1136/pgmj.72.853.684.

Polyarteritis nodosa and drug abuse: is there a connection?

N Samuels  1 , O Shemesh, A M Yinnon, D Fisher, A S Abraham
Affiliations
Case Reports

Polyarteritis nodosa and drug abuse: is there a connection?

N Samuels et al. Postgrad Med J. 1996 Nov.

Abstract

Drug abuse has been controversially linked to polyarteritis nodosa. A 28-year-old man with a history of drug abuse with inhaled heroin presented with an enigmatic illness consisting of refractory fever, bilateral pleural effusions, migratory polyarthritis, and a leukaemoid reaction. An abdominal angiography confirmed the diagnosis of polyarteritis nodosa, and treatment with both prednisone and cyclophosphamide resulted in significant clinical and laboratory improvement.

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