Chest
Idiopathic Isolated Pulmonary Arteritis with Chronic Cor Pulmonale
Section snippets
CASE REPORT
A 57-year-old man was admitted for evaluation of pulmonary arterial obstructive lesions. He was well until four years before admission when he began to experience dyspnea on exertion. Six months before admission, peripheral edema developed and he was admitted to another hospital where pulmonary hypertension and pulmonary arterial obstructions were demonstrated.
On examination, his temperature was 36.4°C, the pulse rate was 76, and respirations 14. The blood pressure was 110/60 mm Hg. The
DISCUSSION
It is not difficult to differentiate the pulmonary inflammatory lesion of this case from many other types of vasculitis because of the site of lesions, namely: proximal, elastic pulmonary arteries. The inflammatory lesion in this case is nonspecific of giant cells, and these are almost the same as those seen in Takayasus arteritis.1 The incidence of pulmonary arterial involvement in Takayasus arteritis is high. Lupi et al2 reported it to be 50 percent. These lesions are mainly obstructive, and
Reference (5)
- et al.
Surgical correction of chronic postembolic obstructions of the pulmonary arteries
J Thorac Cardiovasc Surg
(1978) - et al.
The spectrum of vasculitis: clinical pathologic, immunologic and therapeutic considerations
Ann Intern Med
(1978)