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MR Vol.11 No3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.3 |
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A case of dissecting aortic aneurysm
with cystic medial necrosis in systemic lupus erythematosus |
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| T. Tsuji1, Y. Ishiguro1, Y. Nakui1, Y.
Murata1, A. Munakata1, N. Onozuka2, K. Fukui2, S. Suzuki2, S. Yamagishi
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(1)First Department of Internal Medicine,
Hirosaki University Hospital, 5 Zaifucho, Hirosaki, Aomori 036-8562,
Japan Tel. +81-172-39-5029; Fax +81-172-39-5030 e-mail: okera@infoaomori.ne.jp
tsuji@odate-hp.odate.akita.jp
(2)First Department of Surgery, Hirosaki
University Hospital, Hirosaki, Japan
(3)First Department of Pathology, Hirosaki University, Hirosaki, Japan |
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| Abstract |
| Abstract A 46-year-old woman with systemic lupus
erythematosus (SLE) was admitted owing to a sudden severe back pain.
She had been receiving corticosteroids throughout the course of long-standing
nephritis, and had a family history of dissecting aortic aneurysm.
Computed tomography (CT) and magnetic resonance imaging (MRI) examinations
of the chest with intravenous contrast revealed a dissecting aortic
aneurysm. Surgical replacement of the aortic arch was performed.
The histological findings in the thoracic aorta were compatible with
cystic medial necrosis. We report this rare case, and review the
literature relating to this complication. |
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| Key words |
| Key words Cystic medial necrosis ・ Familial
dissecting aortic aneurysm ・ Systemic lupus erythematosus (SLE) |
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