Table of contents (expand)
- The subject of internal medicine, history and tasks
- Neurocirculatory asthenia (etiology, pathogenesis, classification, clinic)
- Neurocirculatory asthenia (main types, diagnosis, complications, treatment)
- Hypertensive disease (etiology, pathogenesis, classification, clinic)
- Hyperfolic disease (diagnosis, treatment, prognosis, prevention)
- Myocarditis
- Infective endocarditis
- Pericarditis
- Rheumatism (Sokolsky-Buyo disease) (etiology, pathogenesis, clinic, diagnostics)
- Rheumatism (Sokolsky-Buyo disease) (differential diagnosis, treatment, prognosis, prevention)
- Mitral valve prolapse
- Mitral valve defects
- Aortic valve disease
- Tricuspid valve insufficiency
- Atherosclerosis
- Cardiac ischemia. angina pectoris
- Cardiac ischemia. myocardial infarction
- Dilated (congestive) cardiomyopathy
- Hypertrophic cardiomyopathy
- Restrictive cardiomyopathy
- Sinus tachycardia, sinus bradycardia, sinus arrhythmia, sick sinus syndrome
- Rhythm of atrioventricular connection, idioventricular rhythm, extrasystoles, paroxysmal tachycardia
- Atrial fibrillation, atrial flutter, ventricular fibrillation
- Arrhythmias due to impaired conduction of impulses
- Heart failure
- Pneumonia (etiology, pathogenesis, classification, clinic)
- Pneumonia (diagnosis, treatment, prognosis, prevention)
- Chronical bronchitis
- Bronchiectasis
- lung abscess
- Gangrene of the lung
- Thromboembolism of the pulmonary artery (Tela)
- Chronic obstructive pulmonary disease (COPD)
- Bronchial asthma (etiology, pathogenesis, classification, clinic, diagnostics)
- Bronchial asthma (treatment, prevention)
- Emphysema
- Lung cancer
- Exogenous allergic alveolitis
- Fibrosing alveolitis
- Sarcoidosis (Besnier-Beck-Schaumann disease)
- Chronic cor pulmonale
- Pleurisy
- Diffuse glomerulonephritis (etiology, pathoresis, clinic of acute glomerulonephritis)
- Diffuse glomerulonephritis (clinic of chronic glomerulonephritis)
- Diffuse glomerulonephritis (laboratory diagnosis of the disease)
- Diffuse glomerulonephritis (treatment, prognosis, prevention)
- Chronic pyelonephritis
- Chronic renal failure
- Systemic lupus erythematosus
- Systemic scleroderma
- Nodular periarteritis
- Rheumatoid arthritis
- Allergy
- medicinal disease
- Drug disease (diagnosis, complication, treatment)
- Anaphylactic shock treatment
51. NODULAR PERIARTERITIS
Systemic necrotizing vasculitis of arteries of medium and small caliber with the formation of vascular aneurysms and secondary damage to organs and systems.
Clinic. The main syndromes of the disease are asthenovegetative (weight loss, wave-like fever with high temperatures that do not decrease under the influence of antibiotics, weakness, adynamia), cardiac (coronary insufficiency syndrome, possible heart attacks), hypertensive (arterial hypertension), pulmonary (pneumonitis, asthmatic syndrome), abdominal (abdominal pain, dyspepsia, bleeding), hepatolienal (liver enlargement is more common), nephrotic (nephritis, nephrosclerosis with typical clinical manifestations), neurological (polyneuritis), trophic changes (subcutaneous nodules), articular (polyarthralgia), Wegener's syndrome (triad : rhinitis, sinusitis with subsequent ulceration of the bones and cartilage of the nose; pulmonary vasculitis; kidney damage with the development of failure) (Table 2).
Course options: acute, subacute, chronically recurrent.
Diagnostic criteria are kidney damage with arterial hypertension, typical abdominal syndrome combined with dyspeptic disorders, pneumonitis or bronchial asthma with high eosinophilia, cardiac syndrome in the form of coronaritis, polyneuritis.
Three out of five criteria are required for diagnosis.
Diagnostic research. Examination algorithm as in systemic connective tissue diseases.
Table 2
Clinical and morphological features
Treatment. Hormone therapy is carried out, a combination of glucocorticoids with cyclophosphamide and azathioprine - up to several years. Physiotherapy procedures are contraindicated. Symptomatic treatment is carried out.
Forecast. Adverse.
Author: Myshkina A.K.
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