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Circulation: Cardiovascular Imaging CARDIOVASCULAR IMAGES Takayasu´s Disease Presenting as a Hypertensive Urgency 22-year-old female, originally from Ecuador, was admitted to the emer- Carlos Nicolás Pérez- gency department with pulsating frontal headache and malaise. On physi- García , MD A cal examination, the patient was febrile (38.7 °C), and blood pressure was Noemí Ramos-López , 197/92 mm Hg in the right arm and 199/95 mm Hg in the left arm. A markedly MD intense periumbilical murmur was detected. Arterial pulses were normal in the Marcos Fragiel-Saavedra, upper extremities but diminished in the lower. Laboratory test results were as fol- MD lows: mild leukocytosis (11 300 cells/μL), mild thrombocytosis (478 000 cells/μL), Aida Ortega , MD, PhD and elevation of CRP (C-reactive protein; 5.5 mg/dL) and erythrocyte sedimenta- Ana Bustos, MD, PhD tion rate (38 mm/h). Renal function and blood electrolyte values were normal. Judit Font-Urgelles , MD ECG was normal, and fundus examination did not reveal abnormalities. She had Carlos Real , MD no known medical history and no history of smoking, alcohol consumption, or David Vivas, MD, PhD drug abuse. Her only medication was oral contraceptives (cyproterone acetate/ Carlos Ferrera, MD, PhD ethinyl estradiol). Isidre Vilacosta , MD, The
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Apr 2, 2021
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