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Systemic lupus erythematosus associated with vasculitic syndrome (Takayasu's arteritis).
MedLine Citation:
PMID:  19789875     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A 43-year-old woman reported pain in the right hypochondrium, which had started 3 years before and had been worsening for the past few days. Claudication in the superior and inferior limbs, diffuse myalgia, dyspnea, precordialgia followed by dizziness and visual turbidity were added to the clinical picture. In the physical examination bilateral carotid bruit was observed, abdominal aorta murmur and the decrease of the right radial and left pedis pulses and arterial hypertension with difference in the diastolic pressure between limbs >10 mmHg was also observed. On cardiac catheterisation with aortography, right coronary with proximal parietal irregularities, slight pressure increase in right chambers and pulmonary artery, preserved left ventricle contractility, competent valves, carotid and subclavian partial obstruction, severe narrowing of the abdominal aorta below the diaphragm (80%) and right renal artery significant stenosis were observed. Takayasu's arteritis (TA) diagnosis was established according to the ACR criteria based on the clinical symptomatology, on physical and image test findings. Two years later she presented malar rash, photosensitivity, nephropathy, leukopenia, lymphopenia and hemolytic anemia confirming the systemic lupus erythematosus (SLE) diagnosis. TA coexisting with SLE has rarely been reported.
Authors:
Zoraida Sachetto; Sandra R M Fernandes; Ana Paula T Del Rio; Ibsen B Coimbra; Manoel B Bértolo; Lilian Tereza Lavras Costallat
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Publication Detail:
Type:  Journal Article     Date:  2009-09-30
Journal Detail:
Title:  Rheumatology international     Volume:  30     ISSN:  1437-160X     ISO Abbreviation:  Rheumatol. Int.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206885     Medline TA:  Rheumatol Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1669-72     Citation Subset:  IM    
Affiliation:
Rheumatology Unit, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas, UNICAMP, Campinas, SP, 13083-970, Brazil.
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