| Takayasu arteritis presenting as a recurrent respiratory tract infection: a diagnosis facilitated by bedside echocardiography and increased erythrocyte sedimentation rate. | |
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MedLine Citation:
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PMID: 11873545 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Takayasu arteritis is a rare autoimmune disease affecting large and moderate sized arteries, often involving the aorta or coronary vasculature. We report a case of an adolescent male with a history of recurrent respiratory tract infections who presented with fever, cough, and shortness of breath and who was diagnosed with acute aortic valve failure and coronary ischemia. Ultimately, the patient's condition was attributed to Takayasa arteritis. This typical presentation of an atypical disease provides valuable teaching points, including the use of bedside echocardiography for the diagnosis of acute aortic insufficiency and the differential diagnosis of increased erythrocyte sedimentation rate. It also serves to remind clinicians to maintain a high index of suspicion for unusual disease processes in patients who fail to respond to empiric therapy for recurrent subacute illnesses. |
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Authors:
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Robert T Gerhardt; Robert A De Lorenzo |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Military medicine Volume: 167 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-03-04 Completed Date: 2002-05-09 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: United States |
Other Details:
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Languages: eng Pagination: 170-1 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Brooke Army Medical Center/San Antonio Uniformed Services, Health Education Consortium, San Antonio, TX, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aortic Valve Insufficiency / etiology Biopsy / methods Blood Sedimentation Coronary Artery Bypass / methods Humans Male Military Medicine Respiratory Tract Infections / etiology*, ultrasonography Takayasu Arteritis / complications*, surgery, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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