Avtor/Urednik		Flis, Vojko
Naslov		Raynaudov fenomen? Primer 38 letnega moškega z akutno ishemijo zgornjega uda
Prevedeni naslov		Raynaud's phenomenon? The case of 38 years old man with an acute ischaemia of upper extremity
Tip		članek
Vir		Med Mes
Vol. in št.		Letnik 1, št. 3
Leto izdaje		2005
Obseg		str. 10-3
Jezik		slo
Abstrakt		A 38-year-old man was admitted to hospital for suspicion of having Raynauds phenomenon. Raynaud's phenomenon is characterized by episodic vasospasm of the fingers nad toes tipically precipitated by exposure to cold. However after clinical examination was performed the signs of acute ischaemia were found. Patient was a smoker and was not taking any medication. The patient was diagnosed as having Takyasu's arteritis. Takyasu's arteritis is a chronic vasculitis mainly involving aorta and its main branches. It induces clinically varied ischaemic symptoms due to stenotic lesions and thrombus formation. Treatment with aspirin and corticosteroids were started. Substantial improvement was seen within 1 week. The patient was discharged and has been well on continuing treatment with corticosteroids and aspirin.
Izvleček		Osemintrideset letni moški je bil sprejet v bolnišnico z diagnozo Raynaudov fenomen. Raynaudov fenomen je stanje, za katerega je značilen ponavljajoče se pretiran vazokonstrikcijski odgovor žilja prstov rok ali nog, običajno na mraz. Toda po klinični preiskavi se je pokazalo, da ima bolnik akutno ishemijo levega zgornjega uda. Bolnik je bil kadilec in ni jemal nobenih zdravil. Ugotovljeno je bilo, da ima bolnik Takayasujev arteriitis. Takayasujev arteriitis je kronični vaskulitis, zajemajoč predvsem aorto in njene glavne veje. Bolezen se kaže v različnih kliničih slikah. Po začetnem zdravljenju s kortikosteroidi in aspirinom se je njegovo stanje bistveno izboljšalo že v prvem tednu. Po odpustu smo s kortikosteroidi in aspirinom nadaljevali in bolnik zaenkrat nima znakov napredovanja bolezni.
Deskriptorji		RAYNAUD'S DISEASE TAKAYASU'S ARTERITIS SUBCLAVIAN ARTERY ADULT