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lüll Chronic aortic dissection presenting as a prolonged febrile disease and arterial embolization Schattner A; Klepfish A; Caspi AChest 1996[Oct]; 110 (4): 1111-4Aortic dissection most often is an acute event dominated by excruciating pain and other symptoms which suggest the diagnosis. Our report and a review of the medical literature demonstrate that chronic aortic dissection may, rarely, present as a prolonged febrile illness, with night sweats, weight loss, pleural effusion, and little or no pain. These symptoms may be associated with a markedly elevated erythrocyte sedimentation rate (ESR), anemia of chronic disease, and hyperglobulinemia. Awareness of this unusual presentation, a high index of suspicion, and confirmation by an appropriate imagine technique (CT or MRI of the chest or transesophageal echocardiography have a very high sensitivity) will result in earlier diagnosis and better patient outcome.|Aged[MESH]|Anemia, Refractory/etiology[MESH]|Aortic Aneurysm/*diagnosis[MESH]|Aortic Dissection/*diagnosis[MESH]|Chronic Disease[MESH]|Fever/etiology[MESH]|Humans[MESH]|Male[MESH]|Thromboembolism/etiology[MESH] |