The acute diagnosis of Takayasu's arteritis based on helical CT angiography of the chest and neck in the emergency room |
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Authors: | Pinheiro L W LeBlang S D Romano J Forteza A |
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Institution: | Department of Radiology, University of Miami School of Medicine, FL, USA. |
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Abstract: | Recently, a young woman presented acutely with a left hemispheric stroke and differing blood pressures in the arms as her initial manifestation of Takayasu's arteritis. Helical CT angiography, performed to rule out aortic dissection, revealed a thickened wall of the aortic arch with stenoses and occlusions of the great vessels, suggesting the diagnosis. The sequence of imaging studies and findings in this unusually catastrophic presentation of a typically insidious disease are highlighted. |
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