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Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report
A 51-year-old otherwise healthy woman was referred to our hospital with a fever of unknown origin, liver dysfunction, and anemia. One month prior, she had persistent and spontaneous anterior neck pain, with no exacerbation during swallowing or neck movements. Physical examination revealed no pharyng...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395173/ https://www.ncbi.nlm.nih.gov/pubmed/37539356 http://dx.doi.org/10.1177/2050313X231190493 |
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author | Maita, Hiroki Kobayashi, Tadashi Akimoto, Takashi Ota, Shinji Sakuraba, Hirotake Kato, Hiroyuki |
author_facet | Maita, Hiroki Kobayashi, Tadashi Akimoto, Takashi Ota, Shinji Sakuraba, Hirotake Kato, Hiroyuki |
author_sort | Maita, Hiroki |
collection | PubMed |
description | A 51-year-old otherwise healthy woman was referred to our hospital with a fever of unknown origin, liver dysfunction, and anemia. One month prior, she had persistent and spontaneous anterior neck pain, with no exacerbation during swallowing or neck movements. Physical examination revealed no pharyngeal or tonsillar abnormalities, heart murmur, arthritis, skin rash, or lymphadenopathy, except for mild bilateral common carotid artery tenderness at the level of the thyroid cartilage. Blood tests showed nonspecific chronic inflammatory findings, anemia, and liver damage, whereas blood cultures, viral antibodies, interferon-γ release assay, and antibodies specific for any collagen disease showed negative results. Echocardiography and computed tomography without contrast of the neck, chest, abdomen, and pelvis showed no apparent abnormalities. She was subsequently diagnosed with Takayasu arteritis using positron emission tomography. Identifying a characteristic history of bilateral carotid artery tenderness and subsequent positron emission tomography can be useful for diagnosing Takayasu arteritis. |
format | Online Article Text |
id | pubmed-10395173 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-103951732023-08-03 Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report Maita, Hiroki Kobayashi, Tadashi Akimoto, Takashi Ota, Shinji Sakuraba, Hirotake Kato, Hiroyuki SAGE Open Med Case Rep Case Report A 51-year-old otherwise healthy woman was referred to our hospital with a fever of unknown origin, liver dysfunction, and anemia. One month prior, she had persistent and spontaneous anterior neck pain, with no exacerbation during swallowing or neck movements. Physical examination revealed no pharyngeal or tonsillar abnormalities, heart murmur, arthritis, skin rash, or lymphadenopathy, except for mild bilateral common carotid artery tenderness at the level of the thyroid cartilage. Blood tests showed nonspecific chronic inflammatory findings, anemia, and liver damage, whereas blood cultures, viral antibodies, interferon-γ release assay, and antibodies specific for any collagen disease showed negative results. Echocardiography and computed tomography without contrast of the neck, chest, abdomen, and pelvis showed no apparent abnormalities. She was subsequently diagnosed with Takayasu arteritis using positron emission tomography. Identifying a characteristic history of bilateral carotid artery tenderness and subsequent positron emission tomography can be useful for diagnosing Takayasu arteritis. SAGE Publications 2023-07-31 /pmc/articles/PMC10395173/ /pubmed/37539356 http://dx.doi.org/10.1177/2050313X231190493 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Maita, Hiroki Kobayashi, Tadashi Akimoto, Takashi Ota, Shinji Sakuraba, Hirotake Kato, Hiroyuki Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report |
title | Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report |
title_full | Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report |
title_fullStr | Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report |
title_full_unstemmed | Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report |
title_short | Takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: A case report |
title_sort | takayasu arteritis presenting with fever of unknown origin and bilateral carotid artery tenderness: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395173/ https://www.ncbi.nlm.nih.gov/pubmed/37539356 http://dx.doi.org/10.1177/2050313X231190493 |
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