Takayasu arteritis in a 66-year-old caucasian woman.

Takayasu arteritis in a 66-year-old caucasian woman.
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一名 66 岁白人女性患有高安动​​脉炎。

DOI:
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发表时间:
2002
期刊:
Minerva Cardioangiologica : a Journal on Cardiovascular Pathophysiology, Clinical Medicine and Therapy
影响因子:
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通讯作者:
G. Andreozzi
G. Andreozzi
中科院分区:
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文献类型:
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作者:
F. Rosso;F. Verlato;R. Scarpa;G. Andreozzi

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一名 66 岁意大利妇女因疲劳、不适和发烧入院。不存在径向脉冲。接受彩色多普勒回声检查和血管造影,发现双侧腋动脉严重狭窄;特别是,彩色多普勒回声显示左侧颈总动脉弥漫性动脉壁增厚(1.7毫米)。临床特征和仪器检查结果提示活动性多发性动脉炎。给予皮质类固醇治疗,两个月后再次出现双侧桡动脉搏动。该病例证明了西欧存在高安氏动脉炎,并展示了如何在老年患者中观察到该疾病的发作。
A 66 year-old Italian woman was admitted to the hospital for fatigue, malaise and fever. Radial pulses were absent. She underwent echo color Doppler examination and angiography, which pointed out tight stenosis of bilateral axillary arteries; particularly, the echo color Doppler showed diffuse arterial wall thickening in the left common carotid artery (1.7 mm). Clinical features and instrumental findings suggested active Takayasu is arteritis. Corticosteroid therapy was administered and bilateral radial pulse appeared again after two months of steroid therapy. This case demonstrates the presence of Takayasu's arteritis in Western Europe and showed how the disease onset can be observed also in geriatric patients.