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Article: Pulmonary Tumor Thrombotic Microangiopathy: An Often Missed Antemortem Diagnosis.
- Article from:
- Archives of Pathology & Laboratory Medicine
- Article date:
- February 1, 2001
- Author:
CopyrightCOPYRIGHT 2001 College of American Pathologists. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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An Often Missed Antemortem Diagnosis
A 34-year-old white man with a history of smoking and primary pulmonary hypertension" presented with upper abdominal fullness and increasing dyspnea. Physical examination showed signs of cardiac dysfunction, including sinus tachycardia, distended jugular veins, hepatomegaly, and clubbing of the fingers. Increased bilateral interstitial markings with prominent pulmonary arteries were observed on a chest radiograph. Cardiac catheterization revealed pulmonary hypertension with a mean pulmonary arterial pressure of 62 mm Hg and a pulmonary capillary pressure of 35 mm Hg (normal, 30 and 12 mm Hg, respectively). An echocardiogram ...