Aortic dissection masquerading as systemic disease--the post-dissection syndrome

A Neil Turner, C D Pusey

Research output: Contribution to journalArticlepeer-review

Abstract

Three patients presented with a prolonged illness accompanied by fever, weight loss, high ESR, neutrophilia, abnormal liver function tests, urinary abnormalities and, in one case, splinter haemorrhages and impairment of renal function. Aortic dissection was diagnosed 3-12 weeks after the onset of the illness, and probably accounted for the entire syndrome. All abnormalities resolved spontaneously over the following months. There are few similar cases in the literature, and the syndrome could easily pass unrecognized. Aortic dissection should be considered as a possible cause of any systemic illness of sudden onset, but especially if there is an initial history of chest or abdominal pain, or evidence of previous hypertension or other risk factors.

Original languageEnglish
Pages (from-to)525-31
Number of pages7
JournalQuarterly journal of medicine
Volume75
Issue number277
Publication statusPublished - May 1990

Keywords

  • Aneurysm, Dissecting
  • Aortic Aneurysm
  • Blood Sedimentation
  • Diagnosis, Differential
  • Humans
  • Leukocytosis
  • Male
  • Middle Aged
  • Syndrome
  • Tomography, X-Ray Computed

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