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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:1913-1921 December 16, 1999 Number 25
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Case 38-1999— A 62-Year-Old Woman with an Infected Right Foot and Aneurysmal Dilatation of a Femoral Artery
Jeffrey M. Slaiby, Chieh-Min Fan, and H. Thomas Aretz

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Presentation of Case

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 . . . [Full Text of this Article]

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