Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Artery Involvement as the First Manifestation of Takayasu's Arteritis

폐동맥 침범을 첫 임상소견으로 발현한 타카야수동맥염 1예

  • Song, Joon Chang (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang Haak (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Song, So Hyang (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sook Young (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Seok Chan (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Young Kyoon (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Kwan Hyoung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Moon, Hwa Sik (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Song, Jeong Sup (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Park, Sung Hak (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Ki Tae (Department of Radiology, The Catholic University of Korea College of Medicine) ;
  • Song, Kyung Sup (Department of Radiology, The Catholic University of Korea College of Medicine)
  • 송준창 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 송소향 (가톨릭대학교 의과대학 내과학교실) ;
  • 이숙영 (가톨릭대학교 의과대학 내과학교실) ;
  • 김석찬 (가톨릭대학교 의과대학 내과학교실) ;
  • 김영균 (가톨릭대학교 의과대학 내과학교실) ;
  • 김관형 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실) ;
  • 김기태 (가톨릭대학교 의과대학 방사선과학교실) ;
  • 송경섭 (가톨릭대학교 의과대학 방사선과학교실)
  • Published : 20040000
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Abstract

Takayasu's arteritis is a chronic inflammatory disease that primarily affects large vessels, such as the aorta and its main branches. Pulmonary artery is often involved in Takayasu's arteritis, but only a few cases have been reported in which pulmonary artery involvement occurred as the initial clinical manifestation. We report one patient who was referred to our institution with the provisional diagnosis of chronic thromboembolic pulmonary hypertension and subsequently diagnosed with Takayasu's arteritis involving the pulmonary artery.

저자들은 타카야수동맥염에 전형적인 맥박 감소, 사지 혈압의 차이, 사지 파행 등의 증상 없이 기침, 흉통, 객혈과 체중 감소의 호흡기 증상과 전신증상을 주소로 내원한 17세 남자 환자에서 진찰소견과 폐혈관조영술을 통해 폐동맥염을 확인하고, 대동맥조영술을 통해 쇄골하동맥과 온목동맥의 협착을 관찰하여 타카야수동맥염으로 진단한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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