Horner's syndrome as an initial manifestation of Takayasu's arteritis
Autor: | Choi Jh, Park Hs, Chung Jw, Suh Ch, Suh Yj, Won Jh |
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Rok vydání: | 2003 |
Předmět: |
medicine.medical_specialty
Letter business.industry Immunology Takayasu's arteritis Horner syndrome medicine.disease General Biochemistry Genetics and Molecular Biology Surgery Rheumatology Ptosis medicine.artery medicine Immunology and Allergy Arteritis medicine.symptom Anhidrosis Claudication business Vasculitis Subclavian artery |
Zdroj: | Annals of the Rheumatic Diseases. 62:682-684 |
ISSN: | 0003-4967 |
DOI: | 10.1136/ard.62.7.682 |
Popis: | Takayasu’s arteritis (TA) is a granulomatous vasculitis of the large arteries. It typically produces segmental arterial narrowing and occlusion, but aneurysm formation is uncommon.1 Subclavian artery aneurysm presenting with Horner’s syndrome is very rare.2 We report on a patient with Horner’s syndrome caused by subclavian artery aneurysm in TA. A 37 year old Korean man was admitted because of right side ptosis and anhidrosis. He had visited the ophthalmology department three weeks previously. Initially, his margin reflex distance 1 (MRD1) was 1.5 mm (right) and 3.0 mm (left). The neostigmine test was performed, but the MRD1 did not change. After administration of phenylephrine 1 drop, however, MRD1 was improved to 3.0 mm in the right eye. Horner’s syndrome was diagnosed. He had no trauma history. He did not complain of any claudication, pain, or dizziness. His blood pressure was 110/70 mm Hg in both arms and pulse rate 80 beats/min. Complete blood counts, serum protein, and urine analysis were normal. Antinuclear … |
Databáze: | OpenAIRE |
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