Thomas M H
J Rheumatol. 1981 Jan-Feb;8(1):133-7.
A patient who presented with multisystemic symptoms is described. A diagnosis of polyarteritis nodosa was made after arteriographic demonstration of multiple aneurysms in the mesenteric and splenic circulations. The occurrence of a 2nd myocardial infarction in the absence of markers of activity of polyarteritis nodosa led to coronary arteriography which demonstrated a large left atrial myxoma confirmed by echocardiography. Surgical removal of the myxoma was followed by resolution of most of his symptoms and serves to point out the mimicking of a generalized vasculitis by cardiac myxoma.
本文描述了一名出现多系统症状的患者。在肠系膜和脾循环动脉造影显示多发动脉瘤后，诊断为结节性多动脉炎。在没有结节性多动脉炎活动标志物的情况下发生第二次心肌梗死，随后进行冠状动脉造影，显示有一个巨大的左心房黏液瘤，超声心动图证实了这一诊断。手术切除黏液瘤后，他的大多数症状得到缓解，这表明心脏黏液瘤可模拟全身性血管炎。
