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Thorax 2005;60:437-438; doi:10.1136/thx.2004.023622
Copyright © 2005 BMJ Publishing Group Ltd & British Thoracic Society.

CASE REPORT

A patient with insidious onset of exertional dyspnoea

P Eller1, M Lechleitner1, A Gschwendtner2, A Kreczy2, L Müller3, N Kaneider1, J R Patsch1

1 Department of Internal Medicine, Innsbruck University Hospital, Austria
2 Institute of Pathology, Innsbruck University Hospital, Austria
3 Department of Cardiac Surgery, Innsbruck University Hospital, Austria

Correspondence to:
Correspondence to:
Dr M Lechleitner
Department of Internal Medicine, Innsbruck University Hospital, Anichstrasse 35, 6020 Innsbruck, Austria; monika.lechleitner{at}uibk.ac.at

The case history is presented of a 42 year old woman with pulmonary artery occlusion due to tuberculous vasculitis that masqueraded as chronic pulmonary artery embolism and led to severe life threatening haemoptysis necessitating emergency pneumonectomy. It is concluded that obliterative tuberculous endarteritis of the pulmonary arteries should be considered in the differential diagnosis of any acquired obstruction of pulmonary arteries.

Keywords: obliterative tuberculous endarteritis; insidious exertional dyspnoea; pulmonary artery obstruction


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