Difficulties of differential diagnostics of atherosclerotic disease and systemic vasculitis

Authors

  • O. M. Drapkina Clinic for Propedeutics of Internal Diseases, Gastroenterology and Hepatology. V.Kh. Vasilenko Moscow Medical Academy. I. M. Sechenova
  • K. E. Imamgayazova National Medical Research Center for Therapy and Preventive Medicine Ministry of Health of Russia
  • S. A. Berns ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России
  • I. V. Kuznetsova National Medical Research Center for Therapy and Preventive Medicine Ministry of Health of Russia
  • I. I. Almazova National Medical Research Center for Therapy and Preventive Medicine Ministry of Health of Russia
  • T. A. Ryabinina National Medical Research Center for Therapy and Preventive Medicine Ministry of Health of Russia
  • R. N. Shepel National Medical Research Center for Therapy and Preventive Medicine Ministry of Health of Russia
  • A. I. Ershova National Medical Research Center for Therapy and Preventive Medicine Ministry of Health of Russia

DOI:

https://doi.org/10.34687/2219-8202.JAD.2021.02.0006

Keywords:

multifocal atherosclerosis, peripheral atherosclerosis, dyslipidaemia, thromboangiitis obliterans (Buerger's disease), systemic vasculitis

Abstract

The article represents a clinical case of a patient with multifocal atherosclerosis, varicose disease of the lower extremities and genetically determined thrombophilia. According to currently available data, atherosclerosis is the main cause of lower limb artery disease. The atherosclerotic process often extends to various vascular pool leading to multifocal damage of the arterial bed, causing various clinical manifestations and making it difficult to give a complete diagnostic concept, especially in case of comorbidity.
Differential diagnosis of such diseases of the lower extremities arteries as obliterating atherosclerosis and systemic vasculitis is an urgent issue in modern medicine, because diagnostic errors lead to the wrong choice of treatment tactics and, accordingly, to unsatisfactory results.

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Published

2021-06-26

How to Cite

Drapkina O. M., Imamgayazova K. E., Berns S. A., Kuznetsova I. V., Almazova I. I., Ryabinina T. A., Shepel R. N., Ershova A. I. Difficulties of differential diagnostics of atherosclerotic disease and systemic vasculitis // The Journal of Atherosclerosis and Dyslipidemias. 2021. VOL. № 2 (43). PP. 66–72.

Issue

Section

Clinical Case

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