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高安动脉炎:通过断层成像诊断出的可触及颈部肿块

Takayasu arteritis: palpable neck mass diagnosed by cross sectional imaging.

作者信息

Sewall L E, Saxon R R

机构信息

Department of Radiology, St. Paul Hospital, Dallas, TX, USA.

出版信息

J Comput Assist Tomogr. 1995 Nov-Dec;19(6):994-6.

PMID:8537540
Abstract

Takayasu arteritis is a chronic inflammatory disease of unknown origin. The disease is characterized by transmural inflammation and fibrosis; the arterial lesions affect mainly the aorta and great vessels and sometimes involve the pulmonary arteries and visceral vessels. Despite efforts to create criteria for clinical diagnosis, many patients still require angiography for complete evaluation and diagnostic confirmation. We describe a patient with a mass seen on CT and confirmed on MRI; angiography showed changes in the vertebral and carotid arteries. Our case proved to be an atypical presentation of Takayasu arteritis.

摘要

高安动脉炎是一种病因不明的慢性炎症性疾病。该疾病的特征是透壁性炎症和纤维化;动脉病变主要影响主动脉和大血管,有时也累及肺动脉和内脏血管。尽管已努力制定临床诊断标准,但许多患者仍需要进行血管造影以进行全面评估和确诊。我们描述了一名患者,其CT检查发现有肿块,MRI检查予以证实;血管造影显示椎动脉和颈动脉有变化。我们的病例被证明是高安动脉炎的非典型表现。

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