Diaphragmatic paresis as a manifestation of large artery vasculitis.

Hennebry, T A; Mann, J J; Hellmann, D B · J Rheumatol · 1999

case_report · Level V

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Abstract

We describe the initial presentation and followup of a 54-year-old Caucasian woman who presented in 1995 with bilateral arteritis of the axillary arteries and acute onset dyspnea. Chest radiograph, chest fluoroscopy, and pulmonary function studies confirmed the diagnosis of right hemidiaphragmatic paresis. Prednisolone and methotrexate therapy and short term anticoagulation were initiated and she experienced no further sequelae during 2 years of followup.

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