A 66-year-old female with a 20-day fever history underwent extensive testing, revealing large vessel vasculitis involving the aorta and carotid arteries. Investigations showed elevated ESR, bronchitis, aortic thickening, hepatosplenomegaly, and positive p-ANCA and ANA. A CT angiogram confirmed atherosclerotic changes and renal artery stenosis. Treated with corticosteroids, the patient responded well to antibiotics and supportive care, managing steroid-induced hyperglycemia.

  • #general medicine
  • #cardiology

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Dr. U N

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Active Contributor

Add long-acting insulin.