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Migratory large vessel vasculitis preceding acute myeloid leukemia: a case report

Overview of attention for article published in Journal of Medical Case Reports, March 2017
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Title
Migratory large vessel vasculitis preceding acute myeloid leukemia: a case report
Published in
Journal of Medical Case Reports, March 2017
DOI 10.1186/s13256-017-1239-x
Pubmed ID
Authors

Dinusha Chandratilleke, Anthea Anantharajah, Mauro Vicaretti, Warwick Benson, Lucinda J. Berglund

Abstract

Large vessel vasculitis is a rare disorder usually occurring in the context of the autoimmune conditions of giant cell arteritis and Takayasu's arteritis. Case reports have described large vessel vasculitis occurring in individuals with myelodysplastic syndrome, preceding transformation to acute myeloid leukemia. A 56-year-old Afghanistan-born woman presented with fever, a tender left carotid artery, and raised inflammatory markers. Computed tomography revealed thickening of the wall of her left carotid artery. Her symptoms resolved spontaneously; however, they recurred weeks later on the contralateral side, along with abdominal pain after eating. Further imaging with computed tomography and positron emission tomography demonstrated resolution of her left carotid artery abnormality, but new wall thickening and inflammation in her right carotid artery, abdominal aorta, and superior mesenteric artery. She was diagnosed as having large vessel vasculitis, which resolved with corticosteroids and methotrexate. Five months later, she developed acute myeloid leukemia. She had no known history of myelodysplastic syndrome at the time of diagnosis with vasculitis. Large vessel vasculitis in older individuals presenting with atypical clinical features, such as a migratory pattern of affected vessels, vessel wall tenderness, and marked systemic inflammation, should prompt a search for underlying myelodysplasia. Clinicians should be vigilant for progression to acute myeloid leukemia.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 19%
Student > Master 6 16%
Researcher 4 11%
Other 3 8%
Student > Postgraduate 3 8%
Other 7 19%
Unknown 7 19%
Readers by discipline Count As %
Medicine and Dentistry 17 46%
Nursing and Health Professions 2 5%
Social Sciences 2 5%
Biochemistry, Genetics and Molecular Biology 1 3%
Psychology 1 3%
Other 3 8%
Unknown 11 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 March 2017.
All research outputs
#20,410,007
of 22,959,818 outputs
Outputs from Journal of Medical Case Reports
#3,503
of 3,938 outputs
Outputs of similar age
#268,999
of 308,425 outputs
Outputs of similar age from Journal of Medical Case Reports
#98
of 98 outputs
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We're also able to compare this research output to 98 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.