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Polyarteritis Nodosa Following Vaccination Against Hepatitis B Virus with Lower-Extremity Manifestations: A Case Report

Daniel R. Wright Health Alliance of the Hudson Valley, Kingston, NY.

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Jenni M. Davis Orange Pathology Associates, PC, Suffern, NY.

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Karl Robstad Affiliated Pathology Services, Kingston, NY.

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Melissa D. Shah The Vascular Group, Kingston, NY.

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Michael C. Keller Hudson Valley Foot Associates, Kingston, NY.

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John R.L. Froude Medical Associates of the Hudson Valley, Kingston, NY.

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Polyarteritis nodosa is a progressive, often life-threatening, vasculitis affecting multiple organs, including the skin and peripheral nerves. We report a patient presenting with systemic features of the disease and with characteristic lesions in the feet 3 weeks after vaccination against hepatitis B virus infection.

Corresponding author: Daniel R. Wright, DPM, Health Alliance of the Hudson Valley, 396 Broadway, Kingston, NY 12401. (E-mail: dwright46@midwestern.edu)