| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website http://www.journalmc.org |
Case Report
Volume 4, Number 5, May 2013, pages 340-344
STILL out of Breath?
Tables
| * 5 criterions needed, with a minimum of 2 major; **ANA: Antinuclear antibody, RF: Rheumatoid factor. |
| Major criteria |
| Fever ≥ 39 °C, lasting ≥ 1 week |
| Arthralgia, lasting ≥ 2 weeks |
| Non-pruritic, salmon colored macular or maculopapular rash |
| Leukocytosis ≥ 10 000/µL, with 80% granulocytes |
| Minor criteria |
| Sore throat |
| Lymphadenopathy |
| Hepatomegaly or splenomegaly |
| Liver enzymes elevation |
| Negative ANA and RF** |
| Group 1 PAH: pulmonary arterial hypertension |
| Sporadic PAH |
| Familial PAH |
| PAH associated with small arteriolar diseases (collagen vascular disease, anorexigens, HIV, etc) |
| Group 2 PAH: pulmonary venous hypertension |
| Mainly left heart disease |
| Group 3 PAH: PAH associated with respiratory system disorder |
| Sleep apnea |
| Interstitial lung diseases |
| Chronic obstructive pulmonary disease |
| Group 4 PAH: PAH associated with thrombotic disorders |
| Thrombotic occlusion of pulmonary arteries (pulmonary embolisms) |
| Non-thrombotic occlusion of pulmonary arteries (Katayama disease seen with schistosomiasis) |
| Group 5 PAH: PAH of extrinsic nature |
| Mechanical compression of pulmonary vasculature (sarcoidosis, histiocytosis, etc) |