Splenic artery aneurysm in Sjögren’s syndrome
Autor: | Fatma Gülsüm Karakaş, Zeynep Ferhan Ozseker, Cuneyt Tetikkurt |
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Přispěvatelé: | İÜC, Cerrahpaşa Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult Abdominal pain medicine.medical_specialty Population lcsh:Medicine Physical examination Tachypnea Pulmonary function testing splenic artery medicine Humans Leukocytosis education education.field_of_study Bronchiectasis medicine.diagnostic_test business.industry lcsh:R medicine.disease Sjogren's Syndrome Sjogren's syndrome Sjögren’s syndrome aneurysm Arterial blood Female Sjögren's syndrome Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed |
Zdroj: | Monaldi Archives for Chest Disease, Vol 89, Iss 2 (2019) |
ISSN: | 2532-5264 1122-0643 |
Popis: | Ozseker, Zeynep Ferhan Ozseker or Ferhan/0000-0002-3387-4818; Tetikkurt, Cuneyt/0000-0002-4122-2908 WOS:000485176900021 PubMed ID: 31282141 A 40-year-old female presented with cough, exertional dysp- nea, abdominal pain with distention, fatigue, dry eyes and dry mouth. Past history revealed asthma. Physical examination was normal except for tachypnea. We found leukocytosis, azygos fissure on chest X-ray along with normal pulmonary function tests and arterial blood gases. Thorax computed tomography (CT) revealed bronchiectasis and ground glass opacities in both lungs. Abdominal CT demonstrated thrombosed proximal splenic artery aneurysm. Further diagnostic procedures were done and according to the positive Schirmer test and compatible histopathologic findings of the salivary gland, diagnosis of primary Sjogren's syndrome was established. Splenic artery aneurysm is rare occurring in less than 1% of the population that usually appears as an incidental finding. This is the first case in literature that introduces Sjogren's syndrome as a risk factor for splenic artery aneurysm. The silent presentation of the splenic artery aneurysm should previse the clinicians that such an occurrence may cause a significant diagnostic dilemma. |
Databáze: | OpenAIRE |
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