Parkinson's disease with recurrent pulmonary embolism.
A patient with Parkinson's disease was admitted because of recurrent chest pain and dyspnea. Based on high clinical suspicion and a high-probability lung scan, the diagnosis of pulmonary embolism was made. Anticoagulation therapy was administered and the patient remained free of symptoms during the follow-up period of two years. Pulmonary embolism is reported as a possible adverse reaction to levodopa therapy and a frequent, but under-recognized cause of death in patients with parkinsonism. Clinicians should think of pulmonary embolism, a common yet difficult diagnosis, when a parkinsonian patient presents with chest pain and dyspnea.
Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
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SC
Hung
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CT
Tai
D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000150:complications*; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*; D012008:Recurrence
D000925:Anticoagulants