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Takayasu arteritis masquerading as stable angina in a 29-year-old man
Abstract Takayasu arteritis is a form of vasculitis that involves the aorta, its major branches, and the pulmonary arteries. Coronary artery involvement is not uncommon, and most frequently includes the ostia and proximal segments. Early diagnosis of Takayasu arteritis is difficult since it is a rar...
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Published in: | The American journal of emergency medicine 2017-04, Vol.35 (4), p.663.e3-663.e4 |
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description | Abstract Takayasu arteritis is a form of vasculitis that involves the aorta, its major branches, and the pulmonary arteries. Coronary artery involvement is not uncommon, and most frequently includes the ostia and proximal segments. Early diagnosis of Takayasu arteritis is difficult since it is a rare disease and is accompanied by various nonspecific clinical symptoms. However, recent advances in imaging modalities—including magnetic resonance angiography, computed tomography (CT), sonography, and fluoro-deoxyglucose positron emission tomography (FDG-PET)/CT
Isobe (2013) [2] —have facilitated earlier and more accurate diagnoses of this condition. Here we report a case in which imaging revealed stenosis in the ostia of the coronary artery. |
doi_str_mv | 10.1016/j.ajem.2016.10.071 |
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Isobe (2013) [2] —have facilitated earlier and more accurate diagnoses of this condition. Here we report a case in which imaging revealed stenosis in the ostia of the coronary artery.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2016.10.071</identifier><identifier>PMID: 27817935</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Angina ; Angina pectoris ; Angina, Stable - diagnosis ; Angiography ; Aorta ; Arteritis ; Atherosclerosis ; Cardiovascular disease ; Case reports ; Celiac Artery - diagnostic imaging ; Computed tomography ; Computed Tomography Angiography ; Coronary Angiography ; Coronary artery ; Coronary Stenosis - diagnostic imaging ; Coronary Stenosis - drug therapy ; Coronary Stenosis - etiology ; Coronary vessels ; Cyclophosphamide - therapeutic use ; Deoxyglucose ; Diagnosis, Differential ; Emergency ; Emergency medical care ; Family medical history ; Glucocorticoids - therapeutic use ; Heart surgery ; Humans ; Immunoglobulins ; Immunosuppressive Agents - therapeutic use ; Laboratories ; Magnetic resonance imaging ; Male ; Mens health ; Patients ; Positron emission tomography ; Prednisone - therapeutic use ; Pulmonary artery ; Rare diseases ; Rheumatology ; Stenosis ; Stents ; Subclavian Steal Syndrome - diagnostic imaging ; Subclavian Steal Syndrome - drug therapy ; Subclavian Steal Syndrome - etiology ; Takayasu arteritis ; Takayasu Arteritis - complications ; Takayasu Arteritis - diagnosis ; Takayasu Arteritis - drug therapy ; Takayasu's disease ; Tomography, X-Ray Computed ; Vasculitis ; Vein & artery diseases</subject><ispartof>The American journal of emergency medicine, 2017-04, Vol.35 (4), p.663.e3-663.e4</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-15700e59a4ac5aa3f4c679048138779d52ba4a7e0d5cd0ff1963c5e65f77ceea3</citedby><cites>FETCH-LOGICAL-c439t-15700e59a4ac5aa3f4c679048138779d52ba4a7e0d5cd0ff1963c5e65f77ceea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27817935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Lei, MD</creatorcontrib><creatorcontrib>Ma, Teng, MD</creatorcontrib><creatorcontrib>Zhao, Yun-Tao, MD, PhD</creatorcontrib><title>Takayasu arteritis masquerading as stable angina in a 29-year-old man</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Takayasu arteritis is a form of vasculitis that involves the aorta, its major branches, and the pulmonary arteries. Coronary artery involvement is not uncommon, and most frequently includes the ostia and proximal segments. Early diagnosis of Takayasu arteritis is difficult since it is a rare disease and is accompanied by various nonspecific clinical symptoms. However, recent advances in imaging modalities—including magnetic resonance angiography, computed tomography (CT), sonography, and fluoro-deoxyglucose positron emission tomography (FDG-PET)/CT
Isobe (2013) [2] —have facilitated earlier and more accurate diagnoses of this condition. Here we report a case in which imaging revealed stenosis in the ostia of the coronary artery.</description><subject>Adult</subject><subject>Angina</subject><subject>Angina pectoris</subject><subject>Angina, Stable - diagnosis</subject><subject>Angiography</subject><subject>Aorta</subject><subject>Arteritis</subject><subject>Atherosclerosis</subject><subject>Cardiovascular disease</subject><subject>Case reports</subject><subject>Celiac Artery - diagnostic imaging</subject><subject>Computed tomography</subject><subject>Computed Tomography Angiography</subject><subject>Coronary Angiography</subject><subject>Coronary artery</subject><subject>Coronary Stenosis - diagnostic imaging</subject><subject>Coronary Stenosis - drug therapy</subject><subject>Coronary Stenosis - etiology</subject><subject>Coronary vessels</subject><subject>Cyclophosphamide - therapeutic use</subject><subject>Deoxyglucose</subject><subject>Diagnosis, Differential</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Family medical history</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Laboratories</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Mens health</subject><subject>Patients</subject><subject>Positron emission tomography</subject><subject>Prednisone - therapeutic use</subject><subject>Pulmonary artery</subject><subject>Rare diseases</subject><subject>Rheumatology</subject><subject>Stenosis</subject><subject>Stents</subject><subject>Subclavian Steal Syndrome - diagnostic imaging</subject><subject>Subclavian Steal Syndrome - drug therapy</subject><subject>Subclavian Steal Syndrome - etiology</subject><subject>Takayasu arteritis</subject><subject>Takayasu Arteritis - complications</subject><subject>Takayasu Arteritis - diagnosis</subject><subject>Takayasu Arteritis - drug therapy</subject><subject>Takayasu's disease</subject><subject>Tomography, X-Ray Computed</subject><subject>Vasculitis</subject><subject>Vein & artery diseases</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kU1r3DAQhkVJabab_oEcgiGXXrzVh2VZUAphSZPCQg_dnMWsPF7k2PJGsgP77yuzaQI59CQxet5h9Awhl4yuGGXlt3YFLfYrnu6psKKKfSALJgXPK6bYGVlQJWReKqnOyecYW0oZK2TxiZxzlQgt5ILcbuERjhCnDMKIwY0uZj3EpwkD1M7vM4hZHGHXYQZ-7zxkzmeQcZ0fEUI-dHXC_QX52EAX8cvLuSQPP2-36_t88_vu1_pmk9tC6DFnUlGKUkMBVgKIprCl0rSomKiU0rXku_SkkNbS1rRpmC6FlVjKRimLCGJJvp76HsKQRoyj6V202HXgcZiiYZVQlGte8oRev0PbYQo-TZeoSlIttCwTxU-UDUOMARtzCK6HcDSMmlmyac0s2cyS51qSnEJXL62nXY_1a-Sf1QR8PwGYXDw7DCZah95i7QLa0dSD-3__H-_itnPeWege8Yjx7R8mckPNn3nN85ZZKaiqFBd_ATtLoGQ</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Wang, Lei, MD</creator><creator>Ma, Teng, MD</creator><creator>Zhao, Yun-Tao, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Takayasu arteritis masquerading as stable angina in a 29-year-old man</title><author>Wang, Lei, MD ; Ma, Teng, MD ; Zhao, Yun-Tao, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-15700e59a4ac5aa3f4c679048138779d52ba4a7e0d5cd0ff1963c5e65f77ceea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Angina</topic><topic>Angina pectoris</topic><topic>Angina, Stable - diagnosis</topic><topic>Angiography</topic><topic>Aorta</topic><topic>Arteritis</topic><topic>Atherosclerosis</topic><topic>Cardiovascular disease</topic><topic>Case reports</topic><topic>Celiac Artery - diagnostic imaging</topic><topic>Computed tomography</topic><topic>Computed Tomography Angiography</topic><topic>Coronary Angiography</topic><topic>Coronary artery</topic><topic>Coronary Stenosis - diagnostic imaging</topic><topic>Coronary Stenosis - drug therapy</topic><topic>Coronary Stenosis - etiology</topic><topic>Coronary vessels</topic><topic>Cyclophosphamide - therapeutic use</topic><topic>Deoxyglucose</topic><topic>Diagnosis, Differential</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Family medical history</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Immunoglobulins</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Laboratories</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Mens health</topic><topic>Patients</topic><topic>Positron emission tomography</topic><topic>Prednisone - 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Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Lei, MD</au><au>Ma, Teng, MD</au><au>Zhao, Yun-Tao, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Takayasu arteritis masquerading as stable angina in a 29-year-old man</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>35</volume><issue>4</issue><spage>663.e3</spage><epage>663.e4</epage><pages>663.e3-663.e4</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>Abstract Takayasu arteritis is a form of vasculitis that involves the aorta, its major branches, and the pulmonary arteries. Coronary artery involvement is not uncommon, and most frequently includes the ostia and proximal segments. Early diagnosis of Takayasu arteritis is difficult since it is a rare disease and is accompanied by various nonspecific clinical symptoms. However, recent advances in imaging modalities—including magnetic resonance angiography, computed tomography (CT), sonography, and fluoro-deoxyglucose positron emission tomography (FDG-PET)/CT
Isobe (2013) [2] —have facilitated earlier and more accurate diagnoses of this condition. Here we report a case in which imaging revealed stenosis in the ostia of the coronary artery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27817935</pmid><doi>10.1016/j.ajem.2016.10.071</doi></addata></record> |
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subjects | Adult Angina Angina pectoris Angina, Stable - diagnosis Angiography Aorta Arteritis Atherosclerosis Cardiovascular disease Case reports Celiac Artery - diagnostic imaging Computed tomography Computed Tomography Angiography Coronary Angiography Coronary artery Coronary Stenosis - diagnostic imaging Coronary Stenosis - drug therapy Coronary Stenosis - etiology Coronary vessels Cyclophosphamide - therapeutic use Deoxyglucose Diagnosis, Differential Emergency Emergency medical care Family medical history Glucocorticoids - therapeutic use Heart surgery Humans Immunoglobulins Immunosuppressive Agents - therapeutic use Laboratories Magnetic resonance imaging Male Mens health Patients Positron emission tomography Prednisone - therapeutic use Pulmonary artery Rare diseases Rheumatology Stenosis Stents Subclavian Steal Syndrome - diagnostic imaging Subclavian Steal Syndrome - drug therapy Subclavian Steal Syndrome - etiology Takayasu arteritis Takayasu Arteritis - complications Takayasu Arteritis - diagnosis Takayasu Arteritis - drug therapy Takayasu's disease Tomography, X-Ray Computed Vasculitis Vein & artery diseases |
title | Takayasu arteritis masquerading as stable angina in a 29-year-old man |
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