Article Text

Download PDFPDF

Confusing coarctation
  1. J Bentham,
  2. P Todd,
  3. P Evans
  1. Arrowe Park Hospital, Upton, Wirral, UK;

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    This 15 year old boy presented with purpuric spots on his lower limbs, ankle pain, and swelling. On examination he was found to have hypertension, and although Henoch-Schönlein purpura was felt to be the more likely diagnosis, the absence of femoral pulses was perplexing. For this reason we considered an infected coarctation which would explain all the presenting features. Investigations revealed microcytic anaemia, raised C reactive protein, haematuria, and Streptococcus viridans on blood culture. Echocardiography confirmed the coarctation and magnetic resonance imaging the infected proximal aneurysm, which was later successfully resected.