12.07.2015 Views

Clinical Pearls and Myths in Vasculitis

Clinical Pearls and Myths in Vasculitis

Clinical Pearls and Myths in Vasculitis

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Giant Cell Arteritis: PearlMyocardial <strong>in</strong>farction, thoracoabdom<strong>in</strong>al aortic dissections,<strong>and</strong> aortic regurgitation are all potential complications ofGCA.Rout<strong>in</strong>e palpation of the abdomen <strong>and</strong> auscultation of theheart, <strong>in</strong>fra- <strong>and</strong> supraclavicular regions, <strong>and</strong> abdomen areessential.These maneuvers may detect the telltale murmur of aorticregurgitation, the occurrence of new bruits, or the presenceof an enlarg<strong>in</strong>g <strong>and</strong> pulsatile abdom<strong>in</strong>al mass.

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