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Letters |18 December 2012

Carotidynia With Carotid Arterial Thrombosis

Hiroki Matsubara, BSc; Kyosuke Takeshita, MD, PhD; Shigeo Nakamura, MD, PhD; Toyoaki Murohara, MD, PhD; Shigeru Miyachi, MD, PhD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Nagoya University Hospital, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan.

    Potential Conflicts of Interest: None disclosed.

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Background: Carotidynia is unilateral neck pain associated with tenderness to palpation over the carotid bifurcation (1–3). Case reports of this rare condition show fairly consistent magnetic resonance imaging and computed tomographic (CT) findings suggestive of carotid inflammation around the distal common carotid artery and carotid bulb (2–5).
Objective: To report a case of carotidynia with carotid artery thrombosis, which, to our knowledge, has not been previously reported.
Case Report: In March 2012, a 60-year-old man with a 1-month history of continuous right focal neck pain, amaurosis fugax, and tenderness to palpation over the right carotid bifurcation without fever or other signs or symptoms of infection was referred to our institution. Our examination revealed a right carotid bruit without evidence of infection in the patient's mouth or pharynx. The patient had no history of atherosclerotic cardiovascular disease, trauma, tuberculosis, or nasal or dental surgery.
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Matsubara H, Takeshita K, Nakamura S, Murohara T, Miyachi S. Carotidynia With Carotid Arterial Thrombosis. Ann Intern Med. ;157:917–919. doi: 10.7326/0003-4819-157-12-201212180-00020

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Published: Ann Intern Med. 2012;157(12):917-919.

DOI: 10.7326/0003-4819-157-12-201212180-00020

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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