Pulmonary Tumor Thrombotic Microangiopathy: Case Report and Literature Review

被引：3
作者：
Chen, Chien-Kuang [1 ]
机构：
[1] Linkou Chang Gung Mem Hosp, Dept Emergency Med, 5 Fuxing St, Taoyuan 333, Taiwan
来源：
JOURNAL OF ACUTE MEDICINE | 2018年 / 8卷 / 03期
关键词：
pulmonary tumor thrombotic microangiopathy (PTTM); pulmonary embolism (PE); gastric adenocarcinoma; dyspnea;
D O I：
10.6705/j.jacme.201809_8(3).0006
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Pulmonary tumor thrombotic microangiopathy (PTTM) is a rapidly progressive pulmonary disease complicated by malignancy. It manifests clinically as respiratory distress with pulmonary hypertension, progressive right sided heart failure, and sudden death. We describe a case of PTTM associated with metastatic gastric carcinoma. This case demonstrates the diagnostic difficulties in such a rare and rapidly fatal oncological complication. More awareness among clinicians may help make a right diagnosis in the short time available. We also review the literatures to demonstrate the clinical characteristics that might provide clues towards an antemortem diagnosis, and may provide the key in treating PTTM.
引用
收藏
页码：127 / 131
页数：5
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