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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 16-Year-Old Girl With Hemoptysis, Intermittent Loss of Vision, and a Carotid Bruit*

Dipti Gothi, MD; J. M. Joshi, MD
Author and Funding Information

*From the Department of Respiratory Medicine, T. N. Medical College, BYL Nair Hospital, Mumbai, India.

Correspondence to: J. M. Joshi, MD, Professor and Head, Department of Respiratory Medicine, BYL Nair Hospital, Mumbai 400 008, India; e-mail: drjoshijm@email.com



Chest. 2008;133(1):300-304. doi:10.1378/chest.07-0845
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Extract

A 16-year-old girl presented with transient visual blackouts in the left eye, and a history of productive cough with hemoptysis on and off for the past 3 years. There was a history of ankle, knee, and wrist joint pain, and low-grade intermittent fever since the age of 6 years. There was no history of prescribed or illicit drug use.

1Arend, WP, Michel, BA, Bloch, DA, et al (1990) The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis.Arthritis Rheum33,1129-11342Flamm, SD, White, RD, Hoffman, GS The clinical application of “edema-weighted” magnetic resonance imaging in the assessment of Takayasu’s arteritis.Int J Cardiol1998;166(suppl),S151-S1593Gotway, MB, Araoz, PA, Macedo, TA, et al Imaging findings in Takayasu’s arteritis.AJR Am J Roentgenol2005;184,1945-19504Hamzaoui, A, Hamzaoui, K Pulmonary complications of Behcet’s disease and Takayasu’s arteritis.Rev Mal Respir2005;22,999-10195Im, JG, Kim, SH, Chung, MJ, et al Lobular low attenuation of the lung parenchyma on CT: evaluation of forty-eight patients.J Comput Assist Tomogr1996;20,756-7626Maffei, S, Di Renzo, M, Bova, G, et al Takayasu’s arteritis: a review of the literature.Intern Emerg Med2006;1,105-1127Marten, K, Schnyder, P, Schirg, E, et al Review pattern-based differential diagnosis in pulmonary vasculitis using volumetric CT.AJR Am J Roentgenol2005;184,720-7338Rockall, AG, Rickards Shaw, PJ Imaging of the pulmonary manifestations of systemic disease.Postgrad Med J2001;77,621-6389Takashi, K, Honda, M, Furuse, M, et al CT findings of pulmonary parenchyma in Takayasu’s arteritis.J Comput Assist Tomogr1996;20,742-74810Yang, CD, Teng, JL, Gu, YY, et al Takayasu’s arteritis presenting with bilateral pulmonary granulomatosis.Clin Rheumatol2007;26,612-614

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