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[A 65-year-old man with history of claudication, palpable purpura and livedo reticularis].
- Source :
-
Deutsche medizinische Wochenschrift (1946) [Dtsch Med Wochenschr] 2010 Apr; Vol. 135 (16), pp. 801-4. Date of Electronic Publication: 2010 Apr 13. - Publication Year :
- 2010
-
Abstract
- History and Admission Findings: A 65-year-old man was admitted with history of claudication symptoms and painful skin lesions of the lower legs. Physical examination showed palpable purpura of the lower legs and livedo reticularis, most marked at the forefoot and toes.<br />Investigations: Computed tomography (CT) showed an aortic mass 2 cm above the bifurcation. This was treated after angiography with a covered stent. Biopsy of the skin lesions showed no sign of vasculitis and no cholesterol crystals.<br />Treatment and Course: The patient was discharged and remained symptom-free for 9 months. He was readmitted at that time with recurrent complaints. CT revealed a subtotal stenosis of the aortic stent. A skin biopsy showed CD31-positive tumor cells in small arteries. Biopsy of a new osteolytic lesion in the ileum confirmed the diagnosis of angiosarcoma of the aorta. The patient decided in favor of palliative care and was discharged from the hospital.<br />Conclusion: Primary tumors of the aorta, although they are rare, should be considered in the presence of an intravascular mass with stenosis to blood flow. A skin biopsy is easy to conduct and often leads to the final diagnosis.<br /> (Georg Thieme Verlag KG Stuttgart. New York.)
- Subjects :
- Aged
Angioplasty, Balloon
Aorta, Abdominal
Aortic Diseases therapy
Aortography
Atherosclerosis diagnosis
Atherosclerosis therapy
Biopsy
Diagnosis, Differential
Hemangiosarcoma secondary
Hemangiosarcoma therapy
Humans
Intermittent Claudication diagnosis
Intermittent Claudication therapy
Ischemia diagnosis
Ischemia therapy
Livedo Reticularis diagnosis
Livedo Reticularis therapy
Male
Neoplastic Cells, Circulating
Purpura diagnosis
Purpura therapy
Recurrence
Skin pathology
Skin Neoplasms diagnosis
Skin Neoplasms secondary
Skin Neoplasms therapy
Stents
Tomography, X-Ray Computed
Vascular Neoplasms therapy
Aortic Diseases diagnosis
Hemangiosarcoma diagnosis
Intermittent Claudication etiology
Ischemia etiology
Leg blood supply
Livedo Reticularis etiology
Purpura etiology
Vascular Neoplasms diagnosis
Subjects
Details
- Language :
- German
- ISSN :
- 1439-4413
- Volume :
- 135
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Deutsche medizinische Wochenschrift (1946)
- Publication Type :
- Academic Journal
- Accession number :
- 20391310
- Full Text :
- https://doi.org/10.1055/s-0030-1251933