| Atrial myxoma with metastasis misdiagnosed as Takayasu arteritis. | |
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MedLine Citation:
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PMID: 19697033 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The objective of the study is to report a case of atrial myxoma with bloodstream metastasis misdiagnosed to be Takayasu arteritis. A 23-year-old woman manifested with fever, repetitive vasocerebral events and extremities ischemic signs (claudication, difference of BP in arms and absence of pulse) for 5 years. Imaging studies revealed multiple cerebral infarction, bilateral iliac artery stenosis and as thrombosis formation. Takayasu arteritis was diagnosed according to American College of Rheumatology criteria. Glucosteroids and immunosuppressants were given; however, symptoms were not relieved even after treatment. Echocardiography suggested a mass in left atrium, which was surgically removed and pathologically confirmed to be atrial myxoma. Clinical symptoms completely relieved after operation. In conclusion, atrial myxoma with bloodstream metastasis sometimes presented with similar clinical symptoms of Takayasu arteritis and may lead to misdiagnosis of these two diseases. Usually, accepted diagnosis criteria are not enough in distinguishing these diseases. Echocardiography should be considered in these patients. |
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Authors:
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Chun-Yu Tan; Wei Qin; Hui Lin; Zhong-Ming Wang; Qi-Bing Xie; Yi Liu |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-08-21 |
Journal Detail:
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Title: Rheumatology international Volume: 30 ISSN: 1437-160X ISO Abbreviation: Rheumatol. Int. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8206885 Medline TA: Rheumatol Int Country: Germany |
Other Details:
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Languages: eng Pagination: 1499-502 Citation Subset: IM |
Affiliation:
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Division of Rheumatology and Immunology, Department of Medicine, West China Hospital of Sichuan University, 37# Guoxue Road, Wuhou District, 610041, Chengdu, China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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