A case of pulmonary asbestosis presenting with temporal arteritis involving multiple medium-sized vessels.
A 76-year-old woman with pulmonary asbestosis was admitted with fever and polymyalgia. She subsequently developed a visual disorder, hemoptysis, and hemoperitoneum. A biopsy of the temporal artery revealed the presence of giant-cell arteritis. CT and angiography showed hemorrhaging from the bronchial and abdominal arteries. These observations suggested temporal arteritis in which medium-sized vessels were involved. This case implies the association between vasculitis and asbestosis, and suggests a problem in the classification of vasculitides.
Hirata
Shintaro
S
Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Hiroshima, Japan.
Hattori
Noboru
N
Ishikawa
Nobuhisa
N
Fujitaka
Kazunori
K
Kumagai
Kazuhiko
K
Taooka
Yasuyuki
Y
Haruta
Yoshinori
Y
Yokoyama
Akihito
A
Kohno
Nobuoki
N
D000368:Aged; D001195:Asbestosis / Q000150:complications* / Q000473:pathology*; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000473:pathology*; D006465:Hemoperitoneum / Q000209:etiology; D006469:Hemoptysis / Q000209:etiology; D006801:Humans