{"title":"Effective Pain Management in Polyarteritis Nodosa (PAN) Utilizing Lumbar Sympathetic Blocks: A Case Report.","authors":"Masood Mohseni, Behnaz Karimi, Farnad Imani","doi":"10.5812/aapm-144910","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>We presented a 39-year-old man with polyarteritis nodosa (PAN) experienced significant leg pain unresponsive to oral medications.</p><p><strong>Case presentation: </strong>Two sequential lumbar sympathetic blocks with ropivacaine and triamcinolone resulted in over 70% pain reduction (NRS 9-10 to NRS 3) over a three-month follow-up period.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first report showing the efficacy of lumbar sympathetic block in controlling PAN-associated pain.</p>","PeriodicalId":7841,"journal":{"name":"Anesthesiology and Pain Medicine","volume":"15 2","pages":"e144910"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125662/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anesthesiology and Pain Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5812/aapm-144910","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/30 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: We presented a 39-year-old man with polyarteritis nodosa (PAN) experienced significant leg pain unresponsive to oral medications.
Case presentation: Two sequential lumbar sympathetic blocks with ropivacaine and triamcinolone resulted in over 70% pain reduction (NRS 9-10 to NRS 3) over a three-month follow-up period.
Conclusions: To our knowledge, this is the first report showing the efficacy of lumbar sympathetic block in controlling PAN-associated pain.