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A 62-year-old woman was admitted to the hospital because of a foot infection.
The patient's medical history included hypertension, hyperlipoproteinemia, and mild chronic renal failure, with a base-line creatinine level of 2 mg per deciliter (177 µmol per liter). Twelve years before admission, Takayasu's arteritis, severe aortic atherosclerosis, and peripheral vascular disease (central aortic systolic pressure, 130 mm Hg; systolic pressure in each arm, 80 mm Hg) were diagnosed, and prednisone was administered for two years. At approximately the same time, pulmonary hypertension was documented by a catheter study. During the year before the current admission, bilateral carotid artery disease
Differential Diagnosis
Clinical Diagnosis
Dr. Jeffrey M. Slaiby's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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