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Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review

BACKGROUND: Takayasu's arteritis is a chronic systemic inflammatory disease that usually affects the aorta, its primary branches and occasionally the pulmonary and coronary arteries. Female gender in reproductive age and Asian origin are known factors associated with higher disease prevalence....

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Autores principales: Neidhart, Beatrice, Kosek, Robert, Bachmann, Lucas M, Stey, Claudia
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC64544/
https://www.ncbi.nlm.nih.gov/pubmed/11801196
http://dx.doi.org/10.1186/1471-2466-1-3
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author Neidhart, Beatrice
Kosek, Robert
Bachmann, Lucas M
Stey, Claudia
author_facet Neidhart, Beatrice
Kosek, Robert
Bachmann, Lucas M
Stey, Claudia
author_sort Neidhart, Beatrice
collection PubMed
description BACKGROUND: Takayasu's arteritis is a chronic systemic inflammatory disease that usually affects the aorta, its primary branches and occasionally the pulmonary and coronary arteries. Female gender in reproductive age and Asian origin are known factors associated with higher disease prevalence. The clinical manifestations vary considerably and are typically caused by limb or organ ischemia illness and fever. The estimated incidence rate in the western world is 2.6 cases per million persons per year. Occasionally, exertional dyspnea can be the sole primary clinical manifestation of Takayasu's arteritis. CASE PRESENTATION: We report the case of a 57-year-old woman who was referred to our institution with increasing exertional dyspnea caused by pulmonary artery involvement in Takayasu's arteritis. In a review of the literature we discuss demographic data, clinical and radiographic findings and available therapeutic options. CONCLUSIONS: Dyspnea due to pulmonary artery involvement can be the initial symptom of Takayasu's arteritis. Simple clinical tests, including a complete pulse-status and blood pressure measuring at both arms can lead to the right diagnosis and should always be done beyond the auscultation of the heart and lungs in patients with dyspnea.
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spelling pubmed-645442002-01-23 Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review Neidhart, Beatrice Kosek, Robert Bachmann, Lucas M Stey, Claudia BMC Pulm Med Case Report BACKGROUND: Takayasu's arteritis is a chronic systemic inflammatory disease that usually affects the aorta, its primary branches and occasionally the pulmonary and coronary arteries. Female gender in reproductive age and Asian origin are known factors associated with higher disease prevalence. The clinical manifestations vary considerably and are typically caused by limb or organ ischemia illness and fever. The estimated incidence rate in the western world is 2.6 cases per million persons per year. Occasionally, exertional dyspnea can be the sole primary clinical manifestation of Takayasu's arteritis. CASE PRESENTATION: We report the case of a 57-year-old woman who was referred to our institution with increasing exertional dyspnea caused by pulmonary artery involvement in Takayasu's arteritis. In a review of the literature we discuss demographic data, clinical and radiographic findings and available therapeutic options. CONCLUSIONS: Dyspnea due to pulmonary artery involvement can be the initial symptom of Takayasu's arteritis. Simple clinical tests, including a complete pulse-status and blood pressure measuring at both arms can lead to the right diagnosis and should always be done beyond the auscultation of the heart and lungs in patients with dyspnea. BioMed Central 2001-12-18 /pmc/articles/PMC64544/ /pubmed/11801196 http://dx.doi.org/10.1186/1471-2466-1-3 Text en Copyright © 2001 Neidhart et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Case Report
Neidhart, Beatrice
Kosek, Robert
Bachmann, Lucas M
Stey, Claudia
Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review
title Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review
title_full Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review
title_fullStr Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review
title_full_unstemmed Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review
title_short Exertional dyspnea as initial manifestation of Takayasu's arteritis – A case report and literature review
title_sort exertional dyspnea as initial manifestation of takayasu's arteritis – a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC64544/
https://www.ncbi.nlm.nih.gov/pubmed/11801196
http://dx.doi.org/10.1186/1471-2466-1-3
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