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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
Main Authors: Wang, Lei, MD, Ma, Teng, MD, Zhao, Yun-Tao, MD, PhD
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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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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><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 &amp; 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. 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identifier ISSN: 0735-6757
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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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