Chest Pain: The Need to Consider Less Frequent Diagnosis
Chest pain is one of the most frequent patient’s complaints. The commonest underlying causes are well known, but, sometimes, in some clinical scenarios, it is necessary to consider other diagnoses. We report a case of a 68-year-old Caucasian male, chronically hypertensive, who complained of recurren...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/4294780 |
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| author | Pedro Magalhães Anabela Morais Sofia Carvalho Joana Cunha Ana R. Lima J. Ilídio Moreira Trigo Faria |
| author_facet | Pedro Magalhães Anabela Morais Sofia Carvalho Joana Cunha Ana R. Lima J. Ilídio Moreira Trigo Faria |
| author_sort | Pedro Magalhães |
| collection | DOAJ |
| description | Chest pain is one of the most frequent patient’s complaints. The commonest underlying causes are well known, but, sometimes, in some clinical scenarios, it is necessary to consider other diagnoses. We report a case of a 68-year-old Caucasian male, chronically hypertensive, who complained of recurrent episodes of chest pain and fever with elevated acute phase reactants. The first investigation was negative for some of the most likely diagnosis and he quickly improved with anti-inflammatory drugs. Over a few months, his symptoms continued to recur periodically, his hypertension was aggravated, and he developed headaches and lower limbs claudication. After a temporal artery biopsy that was negative for vasculitis, he underwent a positron emission tomography suggestive of Takayasu Arteritis. Takayasu Arteritis is a rare chronic granulomatous vasculitis of the aorta and its first-order branches affecting mostly females up to 50 years old. Chest pain is experienced by >40% of the patients and results from the inflammation of the aorta, pulmonary artery, or coronaries. |
| format | Article |
| id | doaj-art-0e40dd43c1de41fe98ddfa5f030534d3 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-0e40dd43c1de41fe98ddfa5f030534d32025-02-03T06:00:44ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/42947804294780Chest Pain: The Need to Consider Less Frequent DiagnosisPedro Magalhães0Anabela Morais1Sofia Carvalho2Joana Cunha3Ana R. Lima4J. Ilídio Moreira5Trigo Faria6Serviço de Cardiologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalServiço de Medicina Interna, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalServiço de Cardiologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalServiço de Medicina Interna, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalServiço de Medicina Interna, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalServiço de Cardiologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalServiço de Medicina Interna, Centro Hospitalar de Trás-os-Montes e Alto Douro, 5000-508 Vila Real, PortugalChest pain is one of the most frequent patient’s complaints. The commonest underlying causes are well known, but, sometimes, in some clinical scenarios, it is necessary to consider other diagnoses. We report a case of a 68-year-old Caucasian male, chronically hypertensive, who complained of recurrent episodes of chest pain and fever with elevated acute phase reactants. The first investigation was negative for some of the most likely diagnosis and he quickly improved with anti-inflammatory drugs. Over a few months, his symptoms continued to recur periodically, his hypertension was aggravated, and he developed headaches and lower limbs claudication. After a temporal artery biopsy that was negative for vasculitis, he underwent a positron emission tomography suggestive of Takayasu Arteritis. Takayasu Arteritis is a rare chronic granulomatous vasculitis of the aorta and its first-order branches affecting mostly females up to 50 years old. Chest pain is experienced by >40% of the patients and results from the inflammation of the aorta, pulmonary artery, or coronaries.http://dx.doi.org/10.1155/2016/4294780 |
| spellingShingle | Pedro Magalhães Anabela Morais Sofia Carvalho Joana Cunha Ana R. Lima J. Ilídio Moreira Trigo Faria Chest Pain: The Need to Consider Less Frequent Diagnosis Case Reports in Cardiology |
| title | Chest Pain: The Need to Consider Less Frequent Diagnosis |
| title_full | Chest Pain: The Need to Consider Less Frequent Diagnosis |
| title_fullStr | Chest Pain: The Need to Consider Less Frequent Diagnosis |
| title_full_unstemmed | Chest Pain: The Need to Consider Less Frequent Diagnosis |
| title_short | Chest Pain: The Need to Consider Less Frequent Diagnosis |
| title_sort | chest pain the need to consider less frequent diagnosis |
| url | http://dx.doi.org/10.1155/2016/4294780 |
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