J.ophthalmol.(Ukraine).2019;3:52-56.
Received: 19 February 2019; Published on-line: 27 June 2019
http://doi.org/10.31288/oftalmolzh201935256
A Case Report of Kussmaul-Maier Disease
O.O. Andrushkova, Cand Sc (Med); N.V. Malachkova, Cand Sc (Med); K.Iu. Grizhimalskaia, Cand Sc (Med); Ie.G. Manko, Student; T.M. Zhmud, Cand Sc (Med)
Vinnitsa National Pirogov Memorial Medical University;
Vinnitsa (Ukraine)
E-mail: gtatyana@email.ua
TO CITE THIS ARTICLE: Andrushkova OO, Malachkova NV, Grizhimalskaia KIu, Manko IeG, Zhmud TM. A Case Report of Kussmaul-Maier Disease. J.ophthalmol.(Ukraine).2019;3:52-6. http://doi.org/10.31288/oftalmolzh201935256
Background: Kussmaul-Maier disease (also known as polyarteritis nodosa or PAN) is a systemic disorder characterized by destructive and proliferative changes in the walls of arteries (mainly muscular arteries and arterioles).
Purpose: To present a case exemplifying the ocular manifestations of Kussmaul-Maier disease.
Materials and Methods: The patient underwent visual acuity assessment, tonometry, and comprehensive eye examination. In addition, she underwent brain MRI and duplex sonography of the major arteries supplying the head.
Results and conclusion: This case demonstrates the features of disease course and ophthalmologist’s tactics in the treatment of Kussmaul-Maier disease. Kussmaul-Maier disease has a recurrent course with long-lasting (as long as 11 years) periods of remission and favorable visual prognosis.
Keywords: Kussmaul-Maier disease, periarteritis nodosa
References
1.Kazimirko VK, Kovalenko VN. [Rheumatology tutorial for physicians: Answers and questions]. Donetsk: Zaslavskii Publishing House; 2009. Russian.
2.Nasonov EL, Baranov AA, Shilkina NP. [Vasculitides and vasculopathy]. Iaroslavl:Verkhniaia Volga; 1999. Russian.
3.Ramos F, Figueira R, Fonseca JE, et al. [Juvenile cutaneous polyarteritis nodosa associated with streptococcal infection]. Acta Reumatol Port. 2006 Jan-Mar;31(1):83-8. Portuguese.
4.Semenkova EN. [Systemic vasculitides]. Meditsina: Moscow; 1999. Russian.
5.Naumann-Bartsch N, Stachel D, Morhart P, et al. Childhood polyarteritis nodosa in autoimmune lymphoproliferative syndrome. Pediatrics. 2010 Jan;125(1):e169-73. doi: 10.1542/peds.2009-1999.
6.Skripchenko NV, Trofimova TN, Iegorova ES. [Infectious vasculitides: the role in the organ pathology]. Zhurnal infektologii. 2010;2(1):7-17. Russian.
7.Mason JC, Cowie MR, Davies KA, et al. Familial polyarteritis nodosa. Arthritis Rheum. 1994 Aug;37(8):1249-53.
8.Conri C, Mestre C, Constans J, Vital C. [Periarteritis nodosa-type vasculitis and infection with human immunodeficiency virus]. 1991 Jan-Feb;12(1):47-51. French.
9.Fink CW. The role of the streptococcus in poststreptococcal reactive arthritis and childhood polyarteritis nodosa. J Rheumatol Suppl. 1991 Apr;29:14-20.
10.Frey FJ. [Polyarteritis nodosa, a vanishing vasculitis since its main cause has been identified]. Ther Umsch. 2008 May;65(5):247-51. doi: 10.1024/0040-5930.65.5.247. Review. German.
11.Hogan SL, Satterly KK, Dooley MA, et al. Silica exposure in anti-neutrophil cytoplasmic autoantibody-associated glomerulonephritis and lupus nephritis. J Am Soc Nephrol. 2001 Jan;12(1):134-42.
12.Jennette JC, Falk RJ, Andrassy K, et al. Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum. 1994 Feb; 37(2):187-92.
13.Stratta P, Messuerotti A, Canavese C, et al. The role of metals in autoimmune vasculitis: Epidemiological and pathogenic study. Sci Total Environ. 2001 Apr 10;270(1-3):179-90.
14.Tonnelier JM, Ansart S, Tilly-Gentric A, Pennec YL. Juvenile relapsing periarteritis nodosa and streptococcal infection. Joint Bone Spine. 2000;67(4):346-8.
15.Libman BS, Quismorio FP, Stimmler MM. Polyarteritis nodosa-like vasculitis in human immunodeficiency virus infection. J Rheumatol. 1995 Feb;22(2):351-5.
The authors certify that they have no conflicts of interest in the subject matter or materials discussed in this manuscript.