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一名20岁女性的罕见Ⅲ型大动脉炎表现

A Rare Presentation of Type-III Takayasu's Arteritis in a 20-Year-Old Female.

作者信息

Mazhar Nimra, Arif Anum, Manzoor Bhatti Ahsin, Riaz Bismah, Inam Syed Hashim Ali, Sherwani Nawabzada Zeerak Farhat

机构信息

Medicine, Combined Military Hospital, Lahore, PAK.

Vascular Surgery, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK.

出版信息

Cureus. 2021 Sep 15;13(9):e17991. doi: 10.7759/cureus.17991. eCollection 2021 Sep.

Abstract

Takayasu's arteritis is a rare chronic granulomatous vasculitis that predominantly affects the aorta and its branches. It is estimated to affect 2.6/million/annum, predominantly women in the second or third decade of their lives. This case report describes the case of a 21-year-old female, who initially only had low-grade fever and acrodynia, which over a few months, progressed to arm and leg claudication, weight loss, nausea, headache, and dizziness. A year later, the patient experienced impalpable radial pulses bilaterally, and her CT angiogram revealed multi-level arterial stenosis. A diagnosis of Takayasu's arteritis was made and the patient was started on steroids and methotrexate. A consult was made with vascular surgery but no intervention was deemed necessary and the patient responded well to the medical treatment given. Though Takayasu's arteritis is a very rare disease, a detailed history, clinical examination, and investigations can help with early diagnosis.

摘要

高安动脉炎是一种罕见的慢性肉芽肿性血管炎,主要累及主动脉及其分支。据估计,其年发病率为2.6/百万,主要影响二三十岁的女性。本病例报告描述了一名21岁女性的病例,她最初仅有低热和肢端痛,几个月后进展为手臂和腿部间歇性跛行、体重减轻、恶心、头痛和头晕。一年后,患者双侧桡动脉搏动无法触及,其CT血管造影显示多处动脉狭窄。诊断为高安动脉炎,患者开始接受类固醇和甲氨蝶呤治疗。咨询了血管外科,但认为无需干预,患者对所给予的药物治疗反应良好。尽管高安动脉炎是一种非常罕见的疾病,但详细的病史、临床检查和检查有助于早期诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e050/8523081/71b693c918fb/cureus-0013-00000017991-i01.jpg

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