@article{oai:nagasaki-u.repo.nii.ac.jp:00016670, author = {Takeshita, Shigeyuki and Nakamura, Hideki and Kawakami, Atsushi and Fukushima, Tetsuya and Gotoh, Takashi and Ichikawa, Tatsuki and Tsujino, Akira and Ida, Hiroaki and Toriyama, Kan and Hayashi, Tomayoshi and Eguchi, Katsumi}, issue = {3}, journal = {Internal Medicine}, month = {Mar}, note = {A 64yearold man was admitted for alithiasic cholecystitis. Necrotizing vasculitis was detected in a gallbladder obtained at the cholecystectomy. Slight elevation of transaminases, HBe antigens and hepatitis BDNA (HBVDNA) were detected in the patient. Intrahepatic necrotizing vasculitis was also detected in the liver biopsy specimen, and he also suffered from peripheral neuropathy of suddenly onset. Based on the diagnosis of hepatitis Brelated polyarteritis nodosa, lamivudine was initially administered, followed by plasmapheresis and glucocorticoid steroid therapy. These treatments brought satisfactory improvement of polyarteritis nodosa without exacerbation of liver function., Internal Medicine, vol.45(3), pp.145-149; 2006}, pages = {145--149}, title = {Hepatitis B Related Polyarteritis Nodosa Presenting Necrotizing Vasculitis in the Hepatobiliary System Successfully Treated with Lamivudine, Plasmapheresis and Glucocorticoid}, volume = {45}, year = {2006} }