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Published in: Journal of Medical Case Reports 1/2013

Open Access 01-12-2013 | Case report

Pulmonary arteriovenous malformations presenting as difficult-to-control asthma: a case report

Authors: Marta Navratil, Vinko Vidjak, Filip Rubić, Damir Erceg, Mirjana Turkalj

Published in: Journal of Medical Case Reports | Issue 1/2013

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Abstract

Introduction

Although pulmonary arteriovenous malformations are relatively rare disorders, they are an important part of the differential diagnosis of common pulmonary problems, such as hypoxemia, dyspnea on exertion and pulmonary nodules.

Case presentation

An 11-year-old Croatian boy of Mediterranean origin with a history of asthma since childhood was admitted to our hospital for evaluation of difficult-to-control asthma during the previous six months. A chest X-ray showed a homogeneous soft tissue mass in the lingual area. Computed tomography angiography of the thorax showed two pulmonary arteriovenous malformations, one on each side of the lungs. Diagnosis of hereditary hemorrhagic telangiectasia was made clinically by Curaçao criteria. Genetic analysis revealed a mutation in the endoglin gene. The patient was treated with embolotherapy with good clinical outcome.

Conclusion

We present a case of pulmonary arteriovenous malformations masquerading as refractory asthma.
Appendix
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Metadata
Title
Pulmonary arteriovenous malformations presenting as difficult-to-control asthma: a case report
Authors
Marta Navratil
Vinko Vidjak
Filip Rubić
Damir Erceg
Mirjana Turkalj
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2013
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-7-32

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