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KMID : 0388220100170030301
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Journal of the Korean Rheumatism Association
2010 Volume.17 No. 3 p.301 ~ p.305
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A Case of Typical Cogan’s Syndrome with Aortitis
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Kim Hye-Won
Lee Yun-Jong
Chang Sung-Hae
Ryu Han-Hee
Yun Chan-Young
Kang Eun-Ha
Lee Eun-Bong
Song Yeong-Wook
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Abstract
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Cogan’s syndrome can accompany a variety of systemic vasculitides including aortitis. A 45-year-old woman with a history of typical Cogan’s syndrome presented with orthopnea and exertional dyspnea. Echocardiography demonstrated severe aortic valve insufficiency. Computed tomographic angiography demonstrated active vasculitis affecting the ascending and descending aortas and also showed stenosis of the left subclavian artery, both renal arteries, the celiac axis, the superior mesenteric artery, and the right common iliac artery. She received high dose corticosteroid and then underwent an aortic valve replacement. This is the first case of Cogan’s syndrome with aortitis in Korea.
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KEYWORD
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Cogan’s syndrome, Aortitis, Arthritis
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