Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
ONE CASE OF OBSTRUCTION OF THE AXILLARY ARTERY DUE TO GIANT CELL ARTERITIS
Takeshi KANEKOYoshiaki FURUTATakao NISHIUMIShunji MORIKiyoshi ISOBE
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2000 Volume 61 Issue 3 Pages 644-647

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Abstract
Patient, an 85-year-old woman, was seen at the hospital because of numbness and cold sensation of the left hand. Ratio against normal pressure was 0.5 on the left hand for that on the right hand. Angiography revealed a specific funnel like obstruction of the left axillary artery and proliferation of collateral circulation. Symptomatic remission was attained by revascularization. Pathological diagnosis was giant cell arteritis. The disease is granulomatous change including multinucleate giant cells, affects arteries from the aorta to middle-sized arteries, and commonly occurs in the temporal artery. It predominantly occurs in elderly people, and angiography visualizes characteristic tapering stenosis. It is important to differentiate it from aortitis syndrome.
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