Document Detail


Clinical and radiographic features mimicking pulmonary embolism as the first manifestation of Takayasu's arteritis.
MedLine Citation:
PMID:  15278757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current report describes a female patient with Takayasu's arteritis who was hospitalized because of respiratory complaints and a ventilation-perfusion (V/P) scan demonstrating severe perfusion defects with normal ventilation. Her symptoms and V/P scan results were initially interpreted as massive pulmonary embolism, but a spiral computed tomography (CT) of the chest and a repeated lung scan indicated inflammatory involvement of the pulmonary artery accounting for the positive lung scan study. Review of her medical records from 17 years ago revealed that similar symptoms and a positive V/P scan were the initial features of her disease.
Authors:
Amir Shlomai; Alon Y Hershko; Ezra Gabbay; Eldad Ben-Chetrit
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-07-02
Journal Detail:
Title:  Clinical rheumatology     Volume:  23     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-01     Completed Date:  2005-02-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  470-2     Citation Subset:  IM    
Affiliation:
Department of Medicine A, Hadassah-Hebrew University Medical Center, POB 12000, 91120, Jerusalem, Israel. amirsh@md.huji.ac.il
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / therapeutic use
Azathioprine / therapeutic use
Diagnosis, Differential
Drug Therapy, Combination
Female
Humans
Immunosuppressive Agents / therapeutic use
Lung / radiography
Middle Aged
Prednisone / therapeutic use
Pulmonary Embolism / drug therapy,  pathology*,  radiography
Radiography, Thoracic
Takayasu Arteritis / drug therapy,  pathology*,  radiography
Tomography, X-Ray Computed
Ventilation-Perfusion Ratio
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Immunosuppressive Agents; 446-86-6/Azathioprine; 53-03-2/Prednisone

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