关键词: acute pulmonary embolism computed tomographic angiography large vessel vasculitis pulseless disease takayasu arteritits thromboembolism

来  源:   DOI:10.7759/cureus.47944   PDF(Pubmed)

Abstract:
Takayasu arteritis (TA) is an autoimmune vasculitis with unknown etiology. It can have varied presentations ranging from nonspecific symptoms to florid vasculitic symptoms. Awareness of the complications of this disease is also vital in managing patients who are already diagnosed with TA. We present the interesting case of a middle-aged woman, diagnosed case of TA who presented with an acute pulmonary embolism masquerading as an acute lower respiratory infection. Delayed diagnosis or misdiagnosis of acute major thromboembolism can be fatal. There needs to be a high index of suspicion from the clinician\'s end to reach a diagnosis and prompt intervention.
摘要:
Takayasu动脉炎(TA)是一种病因不明的自身免疫性血管炎。它可以有各种各样的表现,从非特异性症状到花样血管症状。对这种疾病的并发症的认识对于管理已经被诊断患有TA的患者也是至关重要的。我们介绍一个中年妇女的有趣案例,诊断为TA的病例,表现为伪装成急性下呼吸道感染的急性肺栓塞。急性严重血栓栓塞的延迟诊断或误诊可能是致命的。从临床医生的末端需要有很高的怀疑指数,以达到诊断和及时干预。
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