Lethal Complicationin a Newly Diagnosed Patient with Hypertension

Authors

  • Najwan Mustafa Alsulaimi Department of Internal Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.31344/ijhhs.v7i1.505

Keywords:

hepatitis B virus, polyarteritis nodosa, diastolic hypertension

Abstract

Polyarteritis Nodosa (PAN) is a rare but lethal systemic vasculitis that affects the mediumsized arteries. Although it is mostly idiopathic, few underlying etiologic agents have been identified and cause secondary PAN. Hepatitis B virus (HBV) is one of them. Early recognition of HBV-associated PAN is critical to improve the patient’s outcomes. We describe a case of 59-year-old gentleman who presented to multiple medical facilities over a few months with non-specific symptoms of unexplained abdominal pain and weight loss in addition to a new onset of hypertension. His clinical course deteriorated, and he was admitted to the intensive care unit with a hemorrhagic shock before he was diagnosed and treated for HBV-associated PAN resulted in renal arterial microaneurysms rupture. This case highlighted the importance of early management of PAN to prevent its fatal consequences. Therefore, we recommend screening for HBV or considering PAN – especially where HBV is endemic – in patients presenting with non-specific symptoms and unexplained weight loss with a new-onset diastolic hypertension.

International Journal of Human and Health Sciences Vol. 07 No. 01 Jan’22 Page: 95-98

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Published

2023-01-11

How to Cite

Alsulaimi, N. M. (2023). Lethal Complicationin a Newly Diagnosed Patient with Hypertension. International Journal of Human and Health Sciences (IJHHS), 7(1), 95–98. https://doi.org/10.31344/ijhhs.v7i1.505

Issue

Vol. 7 No. 1 (2023)

Section

Case Report

License

Copyright (c) 2023 Najwan Mustafa Alsulaimi

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