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Takayasu 动脉炎合并潜伏性结核感染:加蓬首例 39 岁女性病例。

Takayasu Arteritis Associated with Latent Tuberculosis Infection: A 39-Year-Old Woman Is the First Case in Gabon.

机构信息

Department of Internal Medicine, HIAOBO (Omar Bongo Ondimba Army Training Hospital), Libreville, Gabon.

Libreville Military Health Service Application School, Libreville, Gabon.

出版信息

Am J Case Rep. 2020 Aug 2;21:e920195. doi: 10.12659/AJCR.920195.

Abstract

BACKGROUND Takayasu disease is a rare disease affecting large vessels, particularly the aorta and its main branches. The affected arteries become partially occluded. The disease is more frequent in women under 40 years of age, with a ratio of women to men of 8: 1. CASE REPORT We report the case of a 39-year-old woman who was admitted to the medical ward at the Military Hospital in Gabon. She presented with multiple aneurysms, arterial stenosis, and a positive tuberculin skin test and was diagnosed with Takayasu disease associated with latent tuberculosis infection. This rare case is the first to be reported in Gabon, with a delay in diagnosis of approximately 7 months. CONCLUSIONS This is the first case of Takayasu arteritis that has been described in Gabon and has generated medical interest beyond the country regarding the diagnostic, therapeutic, and prognostic approach.

摘要

背景

Takayasu 病是一种罕见的大血管疾病,主要影响主动脉及其主要分支。受累动脉部分阻塞。这种疾病在 40 岁以下的女性中更为常见,女性与男性的比例为 8:1。

病例报告

我们报告了一例 39 岁女性的病例,她因多发性动脉瘤、动脉狭窄和结核菌素皮肤试验阳性而被收入加蓬军队医院内科病房。她被诊断为 Takayasu 病合并潜伏性结核感染。这种罕见病例是加蓬首例报告,诊断延迟约 7 个月。

结论

这是首例在加蓬描述的 Takayasu 动脉炎病例,引起了国内外对该病的诊断、治疗和预后方法的关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ab/7423173/71364f41a471/amjcaserep-21-e920195-g001.jpg

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