Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
ESC Heart Fail. 2017 Nov;4(4):649-654. doi: 10.1002/ehf2.12174. Epub 2017 Sep 28.
Acute heart failure due to myocarditis is not common in Takayasu arteritis, let alone in combination with thrombosis affecting both ventricles and pulmonary arteries. The concomitant infection of non-tuberculosis mycobacterium further complicates the clinical scenario and poses challenges for implementation of tailored treatments. This case report describes a teenage girl with a history of intermittent claudication and Erythema Nodosum who developed acute heart failure. Detailed clinical investigations and imaging techniques confirmed the diagnosis.
由心肌炎引起的急性心力衰竭在 Takayasu 动脉炎中并不常见，更不用说同时影响左右心室和肺动脉的血栓形成了。非结核分枝杆菌的合并感染进一步使临床情况复杂化，并对实施针对性治疗提出了挑战。本病例报告描述了一位有间歇性跛行和结节性红斑病史的少女，她出现了急性心力衰竭。详细的临床检查和影像学技术证实了这一诊断。
