■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。
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.