title: Pulmonary infarction as the initial manifestation of Takayasu's arteritis.
abstract: A 50-year-old woman reporting sudden-onset chest pain was diagnosed as having pulmonary infarction associated with Takayasus arteritis. She had experienced moderate malaise and cough for 3 months. Computed tomography (CT) and magnetic resonance imaging (MRI) showed wedge-shaped infiltrative shadows typical of pulmonary infarction in the right lung. Although pulmonary artery involvement in Takayasus arteritis is well documented, most patients show only signs of mild to moderate pulmonary hypertension. Few reports discuss patients with symptoms due to pulmonary infarction as the initial manifestation. Takayasus arteritis should therefore be considered a differential diagnosis in pulmonary infarction.
authors.affiliation: Division of Pulmonary, Department of Medicine, Saga University Medical School, Nabeshima.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Nakamura
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Hayashi
authors.forename: Mami
authors.initials: M
authors.lastname: Fukuoka
authors.forename: Naoko
authors.initials: N
authors.lastname: Sueoka
authors.forename: Kohei
authors.initials: K
authors.lastname: Nagasawa
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology; D013625:Takayasu Arteritis / Q000150:complications* / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed