Article
Pulmonary arterial hypertension as the first manifestation in a patient with hereditary hemorrhagic telangiectasia.
Internal medicine (Tokyo, Japan) - 1 Jan 2014
Ishiwata Tsukasa, Terada Jiro, Tanabe Nobuhiro, Abe Mitsuhiro, Sugiura Toshihiko, Tsushima Kenji, Tada Yuji, Sakao Seiichiro, Kasahara Yasunori, Nakanishi Norifumi, Morisaki Hiroko, Tatsumi Koichiro
Abstract excerpt
A 17-year-old Japanese girl visited our hospital for an evaluation of exertional dyspnea. A diagnosis of pulmonary arterial hypertension (PAH) was confirmed based on the findings of right heart catheterization. Detailed questioning revealed a family history of hereditary hemorrhagic telangiectasia (HHT), and a genetic mutation analysis disclosed a mutation in the activin receptor-like kinase 1 gene (ACVRL1). The...
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