In November, 2009, a 19-year-old woman presented to us with a 3-month history of several episodes of numbness of her left limbs lasting 2.3 min, and one episode of weakness lasting 2 .5 h. She also complained of anorexia because of paroxysmal upper abdominal pain, which had been present for 1 week before admission and had a 5-year history of intermittent stomach discomfort.Our patient had had an average of ten episodes of recurrent oral ulcers per year, and two episodes of genital ulcers since she was 4 years old. She did not report any history of hypertension, diabetes, coronary artery disease, smoking, or drug or alcohol misuse. On physical examination there was an absence of bilateral carotid pulses. Neurological and ophthalmological examinations were normal.
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