| Pulmonary artery involvement as first manifestation in three cases of Takayasu arteritis. | |
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MedLine Citation:
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PMID: 9119521 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although the pulmonary artery is often involved in Takayasu arteritis, only a few cases have been reported in which pulmonary artery involvement occurred as the initial clinical manifestation. Based upon history, physical findings, laboratory data, and radiographic studies, we diagnosed Takayasu arteritis in three young females who had pulmonary artery occlusion without apparent lesions in the aortic arch and its main branches. Major symptoms and signs encountered were persistent mild or moderate chest pain, pleural effusion, and an episode of hemoptysis. Pulmonary artery occlusions were confirmed by angiography and perfusion studies. Steroid treatment relieved the symptoms in two cases, but the 3rd case required additional therapy with methotrexate for the suppression of disease activity. We emphasize the importance of considering Takayasu arteritis in cases with the above-mentioned signs and symptoms and pulmonary artery occlusion, despite the absence of aortic lesions. |
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Authors:
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K Nakabayashi; N Kurata; N Nangi; H Miyake; T Nagasawa |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of cardiology Volume: 54 Suppl ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 1996 Aug |
Date Detail:
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Created Date: 1997-04-23 Completed Date: 1997-04-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: IRELAND |
Other Details:
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Languages: eng Pagination: S177-83 Citation Subset: IM |
Affiliation:
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First Department of Internal Medicine, Kyorin University, Tokyo, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angiography Dose-Response Relationship, Drug Drug Administration Schedule Drug Therapy, Combination Female Humans Lung / blood supply Methotrexate / therapeutic use Methylprednisolone / therapeutic use Prednisolone / therapeutic use Pulmonary Artery / radiography* Takayasu Arteritis / drug therapy, radiography* |
| Chemical | |
Reg. No./Substance:
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50-24-8/Prednisolone; 59-05-2/Methotrexate; 83-43-2/Methylprednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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