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MR Vol.11 No.4 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.4 |
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Vasculo-Behcet's syndrome with widespread arterial
involvement |
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| H. Nakamura1, Y. Ueki1, K. Horikami1, S.
Miyake1, K. Hirao1, M. Tominaga1, K. Eguchi2 |
(1)Department of Internal Medicine, Sasebo
Chuo Hospital, 15 Yamato-cho, Sasebo 857-1195, Japan
(2)First Department of Internal Medicine, Nagasaki University School of Medicine,
Nagasaki, Japan |
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| Abstract |
| Abstract An 18-year-old woman with a history
of multiple oral ulcers followed by erythema nodosum was admitted
to our hospital because of the lack of a pulse in her upper left
extremity and occasional dizziness. High C-reactive protein (CRP)
levels were detected in her serum. Arterial angiography showed a
widespread narrowing of the major arteries, including both carotid
arteries, the left vertebral artery, the left subclavian artery (branches
of the aortic arch), the abdominal aorta, and left renal arteries.
However, no involvement in the circle of Willis was noted, and this
was confirmed by magnetic resonance angiography. Pulmonary scintigraphy
showed no perfusion defect. The distribution of the arterial involvement,
her youth, and nega-tive human leukocyte antigen (HLA) B51 were consistent
with Takayasu arteritis, although the presence of mucocutaneous involvement
favored a diagnosis of vasculo-Behcet's syndrome. We treated the
patient with prednisolone and warfarin, which resulted in an improvement
in CRP levels and no thrombosis-related complications. |
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| Key words |
| Key words Angiography ・ Multiple arterial involvement
・ Vasculo?Behcet's syndrome |
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