https://scholars.lib.ntu.edu.tw/handle/123456789/568006
標題: | Aortic aneurysm in systemic lupus erythematosus | 作者: | Chang W.-L. Huang C.-M. YAO-HSU YANG YU-TSAN LIN BOR-LUEN CHIANG |
公開日期: | 2004 | 卷: | 37 | 期: | 5 | 起(迄)頁: | 310-312 | 來源出版物: | Journal of Microbiology, Immunology and Infection | 摘要: | Systemic lupus erythematosus (SLE) is frequently associated with cardiovascular manifestations, but rarely complicated with aortic disease. We report a 28-year-old female patient with a 14-year history of SLE and a 3-year history of hypertension. She had suffered from palpitation and chest tightness for 1 month before admission. Heart echo showed thoracic to low abdominal level with low flow. A computed tomography (CT) scan confirmed aneurysms of the descending thoracic and upper abdominal aorta, down to the renal level. Diagnosis of aortic aneurysm should be considered in patients with SLE, especially those who have a history of hypertension, prolonged steroid use, palpitation and chest pain. Current imaging modalities, such as cardiac echo, CT and magnetic resonance angiography may provide earlier detection of subclinical disease, which may aid in preventing these fatal complications. It is important to control hypertension aggressively in patients with SLE. In addition to decreasing steroid doses, early use of immunosuppressive agents and accurate noninvasive image modalities may allow us to prevent severe damage to the aorta and avoid the fatal complications. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-7444257890&partnerID=40&md5=9540875784313c671967464a3aea7016 https://scholars.lib.ntu.edu.tw/handle/123456789/568006 |
ISSN: | 1684-1182 | SDG/關鍵字: | cyclophosphamide; methylprednisolone; nifedipine; propranolol; steroid; abdominal aorta; adult; aorta aneurysm; aorta disease; article; case report; computer assisted tomography; descending aorta; echocardiography; female; heart palpitation; human; hypertension; immunosuppressive treatment; kidney biopsy; lupus erythematosus nephritis; magnetic resonance angiography; non invasive measurement; steroid therapy; systemic lupus erythematosus; Adrenal Cortex Hormones; Adult; Aortic Aneurysm, Abdominal; Aortic Aneurysm, Thoracic; Female; Humans; Hypertension; Lupus Erythematosus, Systemic; Risk Factors; Tomography, X-Ray Computed |
顯示於: | 醫學系 |
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