A 74-year-old man with diabetes presents with neuropathic foot pain. Lower extremity radiographs reveal linear calcifications in medium-sized muscular artery walls. Vital signs: BP 158/92 mmHg, HR 88/min, RR 16/min, temp 37°C, SpO2 98%. Laboratory findings show elevated fasting glucose at 186 mg/dL. Distal pulses remain palpable bilaterally, and there is no evidence of tissue ischemia or claudication. Which of the following best explains these arterial findings?
- A)Fibromuscular dysplasia
- B)Monckeberg medial calcific sclerosisGABARITO
- C)Buerger disease
- D)Polyarteritis nodosa
- E)Atherosclerosis
Explicação
Monckeberg medial calcific sclerosis is correct. This condition features calcification of the media of medium sized arteries, usually in older adults, without major luminal narrowing or ischemia. It is often an incidental imaging finding. Ver explicação completa e trilha adaptativa →