November 2018 imaging case of the month: Respiratory failure in a 36-year-old woman

Southwest Journal of Pulmonary and Critical Care

Gotway MB¹ 

[1] Mayo Clinic Arizona, Scottsdale, AZ USA;

关键词: patent foramen ovale;    respiratory failure;    pulmonary embolism;    cerebral infarction;    pulmonary hypertension;    CT scan;    chest x-ray;    diagnosis;    ventilation/perfusion scan;    drug abuse;   

DOI  :  10.13175/swjpcc114-18

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. Clinical History: A 36–year old woman presented with complaints of shortness of breath and worsening dyspnea on exertion. She had a reported history of central nervous system vasculitis of uncertain etiology, treated with azathioprine and prednisone currently, and cyclophosphamide in the past. Her symptoms reportedly responded well to this regimen. Her diagnosis of central nervous system vasculitis was established 6 months earlier when the patient presented with upper extremity paresthesia, headache, left arm weakness, diplopia, and a right eye visual field deficit, evidently with brain imaging showing some pathologic changes, although those records were not available at her presentation. Reportedly she responded well to her immunosuppressive therapy and her steroid and azathioprine doses had been tapered accordingly. Her past medical history was otherwise remarkable for a history of migraine headaches, depression, childhood asthma, hemorrhagic cystitis due to cyclophosphamide (which prompted discounting this drug in favor of azathioprine for the …

【 授权许可】

Unknown