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What is Sam's diagnosis?

Published in Medical Diagnosis 2 mins read

Sam's diagnosis is Segmental Arterial Mediolysis (SAM).

Understanding Segmental Arterial Mediolysis (SAM)

SAM is a rare and poorly understood disease. It affects the arteries, specifically the middle layer (media) of the artery walls.

Key Characteristics of SAM:

  • Nonatherosclerotic: It is not related to plaque buildup in the arteries.
  • Noninflammatory: It doesn't involve inflammation of the artery walls.
  • Arterial Medial Degeneration: The primary issue is the degeneration of the medial layer of the arteries.

How SAM Manifests:

According to the provided reference, SAM can lead to several arterial issues:

  • Aneurysm: Bulging or weakening of the arterial wall.
  • Dissection: Tearing of the layers of the arterial wall.
  • Stenosis: Narrowing of the arteries.
  • Bleeding: Resulting from rupture or weakening of the arterial walls.

Affected Arteries:

  • SAM commonly affects visceral arteries which supply the abdominal organs.
  • Renal arteries which supply the kidneys, can also be affected.


Feature Description
Nature Nonatherosclerotic, noninflammatory
Cause Degeneration of arterial medial layer
Symptoms Aneurysm, dissection, stenosis, bleeding
Affected Arteries Visceral and renal arteries


In summary, SAM is characterized by the breakdown of the middle layer of arterial walls, leading to various complications like aneurysm, dissection, stenosis or bleeding.

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