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The article describes the case of a hospitalized 58-year-old female patient with a chronic dry cough and increased inflammation values. Before hospital admission, the presence of coronavirus disease 2019 (COVID-19) was excluded by a normal chest X‑ray and two negative PCR tests on throat swabs. On a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871317/ https://www.ncbi.nlm.nih.gov/pubmed/33559755 http://dx.doi.org/10.1007/s00393-021-00961-0 |
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author | Arévalo Ruales, K. Elkes, B. Miehle, N. |
author_facet | Arévalo Ruales, K. Elkes, B. Miehle, N. |
author_sort | Arévalo Ruales, K. |
collection | PubMed |
description | The article describes the case of a hospitalized 58-year-old female patient with a chronic dry cough and increased inflammation values. Before hospital admission, the presence of coronavirus disease 2019 (COVID-19) was excluded by a normal chest X‑ray and two negative PCR tests on throat swabs. On admission the only symptom was a dry cough with clinically inconspicuous auscultation findings. The laboratory investigations revealed anemia and increased inflammation parameters, e.g. C‑reactive protein (CRP) 92.4 mg/l and erythrocyte sedimentation rate (ESR) 102 mm/h (according to Westergren). A large vessel vasculitis was demonstrated on magnetic resonance angiography (MRA). After the diagnosis of a giant cell arteritis, treatment with an oral glucocorticoid and subcutaneous methotrexate (MTX) was initiated, with good clinical and laboratory parameter responses. Dry cough has been described in rare cases in the literature as the first sign of large vessel vasculitis. |
format | Online Article Text |
id | pubmed-7871317 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-78713172021-02-09 Husten in Corona-Zeiten Arévalo Ruales, K. Elkes, B. Miehle, N. Z Rheumatol Kasuistiken The article describes the case of a hospitalized 58-year-old female patient with a chronic dry cough and increased inflammation values. Before hospital admission, the presence of coronavirus disease 2019 (COVID-19) was excluded by a normal chest X‑ray and two negative PCR tests on throat swabs. On admission the only symptom was a dry cough with clinically inconspicuous auscultation findings. The laboratory investigations revealed anemia and increased inflammation parameters, e.g. C‑reactive protein (CRP) 92.4 mg/l and erythrocyte sedimentation rate (ESR) 102 mm/h (according to Westergren). A large vessel vasculitis was demonstrated on magnetic resonance angiography (MRA). After the diagnosis of a giant cell arteritis, treatment with an oral glucocorticoid and subcutaneous methotrexate (MTX) was initiated, with good clinical and laboratory parameter responses. Dry cough has been described in rare cases in the literature as the first sign of large vessel vasculitis. Springer Medizin 2021-02-09 2021 /pmc/articles/PMC7871317/ /pubmed/33559755 http://dx.doi.org/10.1007/s00393-021-00961-0 Text en © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Kasuistiken Arévalo Ruales, K. Elkes, B. Miehle, N. Husten in Corona-Zeiten |
title | Husten in Corona-Zeiten |
title_full | Husten in Corona-Zeiten |
title_fullStr | Husten in Corona-Zeiten |
title_full_unstemmed | Husten in Corona-Zeiten |
title_short | Husten in Corona-Zeiten |
title_sort | husten in corona-zeiten |
topic | Kasuistiken |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871317/ https://www.ncbi.nlm.nih.gov/pubmed/33559755 http://dx.doi.org/10.1007/s00393-021-00961-0 |
work_keys_str_mv | AT arevalorualesk hustenincoronazeiten AT elkesb hustenincoronazeiten AT miehlen hustenincoronazeiten |