Uncommon arteriopathies: what the vascular surgeon needs to know ... Interesting

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: Semin Vasc Surg. 2003 Sep;16(3):240-51. Related Articles,Links

Uncommon arteriopathies: what the vascular surgeon needs to know.

Shepherd RF, Rooke T.

Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA.

Uncommon arteriopathies encompass a diverse range of diseases, including

inherited collagen vascular disorders such as Marfan syndrome, Ehlers-Danlos

Type

IV, and pseudoxanthoma elasticum; vasculitides, including Takayasu's

arteritis, extracranial giant cell arteritis, and Behcet's disease;

neurofibromatosis

type 1; intimal fibromuscular dysplasia; unusual bacterial and viral

infections; and drug-induced arteriopathies. Patients with uncommon arterial

disorders

may present to the vascular surgeon with common surgical problems, including

intermittent claudication, renovascular hypertension, Raynaud's phenomenon, and

aneurysmal disease. However, the disease manifestations, expected course, and

outcomes may be much different than more common arterial disorders and this

can have important surgical implications. This review centers around several

interesting cases and the differential diagnoses that should be considered when

encountering an unusual clinical presentation. Reference is made to the

literature for diagnostic criteria, clinical pearls, and how to avoid pitfalls

in the

evaluation and management of patients with unusual arteriopathies.

Publication Types:

Case Reports

PMID: 12975764 [PubMed - indexed for MEDLINE]