A 60 year old man with a history of coronary artery disease fell off a ladder while cleaning the gutters of his house. Over the next two months, he developed progressive renal failure, bruising of the skin of the lower limbs and lower abdomen, pain in the toes of both feet, peripheral blood eosinophilia, and finally a stroke thought to be due to a cerebral infarct. A transesophageal echogram showed the presence of loose plaques in the arch of the aorta and descending thoracic aorta. Which one of the following is the most likely cause of his recent symptomatology?
- Type A dissection of the aorta.
- Atheroembolic disease.
- Buerger’s disease.
- Temporal arteritis.
- Polyarteritis nodosa.
Answer
Category:
Pathology MCQs
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