关键词: Takayasu arteritis granulomatous vasculitis large‐vessel vasculitis pulmonary artery aneurysm

来  源:   DOI:10.1002/ccr3.8002   PDF(Pubmed)

Abstract:
UNASSIGNED: In suspected cases of systemic vasculitis, imaging studies should include the pulmonary artery. This is a rare case of Takayasu arteritis with a large pulmonary aneurysm. Medical management is the first line and vascular intervention if fails prior.
UNASSIGNED: Takayasu arteritis (TA) should be suspected in young women presented with hypertension, carotidynia, and claudications. Pulmonary artery involvement is frequent, occurring in 20%-50% of patients with TA. However, this case highlights the rare presentation of TA with a large pulmonary aneurysm and minimal aortic involvement. Medical management including immunosuppressive agents and biological therapies remains an important role, with vascular intervention remains as an option if medical therapy failed.
摘要:
在系统性血管炎的疑似病例中,影像学检查应包括肺动脉。这是一例罕见的Takayasu动脉炎伴大型肺动脉瘤。医疗管理是第一线,如果事先失败,血管介入。
患有高血压的年轻女性应怀疑大动脉炎(TA),carotidynia,和跛行。肺动脉受累频繁,发生在20%-50%的TA患者中。然而,该病例突出了罕见的TA表现,伴有大的肺动脉瘤和最小的主动脉受累。包括免疫抑制剂和生物治疗在内的医疗管理仍然是一个重要的角色。如果药物治疗失败,血管介入治疗仍然是一种选择。
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