SPLANCHNICECTOMY FOR HYPERTENSION IN LUPUS ERYTHEMATOSUS AND PERIARTERITIS NODOSA
Authors: S F HORNE, A C CURTIS, E A KAHN
Journal: Annals of Internal Medicine (1950)

Case Reports1 June 1950SPLANCHNICECTOMY FOR HYPERTENSION IN LUPUS ERYTHEMATOSUS AND PERIARTERITIS NODOSAS. F. HORNE, M.D., A. C. CURTIS, M.D., F.A.C.P., E. A. KAHN, M.D.S. F. HORNE, M.D.Search for more papers by this author, A. C. CURTIS, M.D., F.A.C.P.Search for more papers by this author, E. A. KAHN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-32-6-1202 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOne of the most important advances in the treatment of hypertension is the bilateral supradiaphragmatic splanchnicectomy and lower dorsal sympathetic ganglionectomy.4, 5, 9However, the articles written on the subject have been concerned entirely with patients who have had essential or malignant hypertension. No reports have been presented in which this operation was performed for hypertension secondary to a generalized disease. This report is of one case of periarteritis nodosa, in which the outstanding lesion is arterial necrosis and one of disseminated lupus erythematosus in which the striking finding is widespread fibrinoid degeneration of the collagenous tissue, necrosis of the...Bibliography1. ContrattoLevine AWSA: Acute lupus erythematosus disseminatus, N. England J. Med. 221: 602, 1939. CrossrefGoogle Scholar2. Gahan E: Lupus erythematosus: clinical observations in 443 cases, Arch. Dermat. and Syph. 45: 685, 1942. CrossrefGoogle Scholar3. FriedbergGross CKL: Periarteritis nodosa (necrotizing arteritis) associated with rheumatic heart disease, Arch. Int. Med. 54: 170, 1934. CrossrefGoogle Scholar4. PeetIsberg MMEM: The surgical treatment of arterial hypertension, J. A. M. A. 130: 467, 1946. CrossrefMedlineGoogle Scholar5. PeetWoodsBraden MMWWS: The surgical treatment of hypertension: results in 350 consecutive cases, J. A. M. A. 115: 1875, 1940. CrossrefGoogle Scholar6. RakovTaylor HLJS: Acute disseminated lupus erythematosus, Arch. Int. Med. 70: 88, 1942. CrossrefGoogle Scholar7. Rich AR: The role of hypersensitivity in periarteritis nodosa, Bull. Johns Hopkins Hosp. 71: 123, 375, 1942. Google Scholar8. RoseGoldberg ELC: The visceral lesions of acute disseminated lupus erythematosus, Med. Clin. N. Am. 19: 333, 1935. Google Scholar9. Smithwick RH: Surgical treatment of hypertension: effect of radical (lumbodorsal) splanchnicectomy on the hypertensive state of 156 patients followed one to five years, Arch. Surg. 49: 180, 1944. CrossrefGoogle Scholar10. Spiegel R: Clinical aspects of periarteritis nodosa, Arch. Int. Med. 58: 993, 1936. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Ann Arbor, Michigan*Received for publication January 24, 1948.From the Departments of Dermatology and Syphilology and Neurosurgery, Medical School, University of Michigan. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byKrankheiten der GefäßePeriarteriitis nodosaPeriarteritis Nodosa as a Source of Subarachnoid Hemorrhage and Spinal Cord CompressionTHE CLINICAL MANIFESTATIONS OF ESSENTIAL POLYANGIITIS (PERIARTERITIS NODOSA), WITH EMPHASIS ON THE HEPATIC MANIFESTATIONS*FRED H. MOWREY, F.A.C.P., EDWARD A. LUNDBERG, M.D.RHEUMATISM AND ARTHRITIS REVIEW OF AMERICAN AND ENGLISH LITERATURE OF RECENT YEARS (TENTH RHEUMATISM REVIEW)* Part IIWILLIAM D. ROBINSON, M.D., F.A.C.P., EDWARD W. BOLAND, M.D., F.A.C.P., JOSEPH J. BUNIM, M.D., F.A.C.P., DARRELL C. CRAIN, M.D., F.A.C.P., EPHRAIM P. ENGLEMAN, M.D., F.A.C.P., WALLACE GRAHAM, M.D., F.R.C.P. (C), L. MAXWELL LOCKIE, M.D., F.A.C.P., MAX M. MONTGOMERY, M.D., F.A.C.P., CHARLES RAGAN, M.D., F.A.C.P., MARIAN W. ROPES, M.D., F.A.C.P., EDWARD F. ROSENBERG, M.D., F.A.C.P., CHARLEY J. SMYTH, M.D.NATURAL HISTORY OF LUPUS ERYTHEMATOSUS DISSEMINATUS*RALPH A. JESSAR, M.D., RONALD W. LAMONT-HAVERS, M.D., CHARLES RAGAN, M.D.POLYARTERITIS NODOSA CAUSING DEAFNESS IN AN ADULT: REPORT OF A CASE WITH SPECIAL REFERENCE TO CONCEPTS ABOUT THE DISEASE*NEIL F. MCNEIL, M.D., MEYER BERKE, M.D., I. M. REINGOLD, M.D.HEALING POLYARTERITIS NODOSAPeriarteritis Nodosa Following Thiouracil Therapy of Hyperthyroidism: Resultant Hypertension Benefited By Sympathectomy 1 June 1950Volume 32, Issue 6Page: 1202-1206KeywordsDermatologyHypertensionLesionsLupus erythematosusNecrosisNeurosurgerySecondary hypertension ePublished: 1 December 2008 Issue Published: 1 June 1950 PDF downloadLoading ...