Aortitis, causas infrecuentes en Reumatología: presentación de casos

Aortitis is a nonspecific term that describes an inflammation of the aortic wall caused by inflammatory, infectious, paraneoplastic and idiopathic diseases. The symptoms are variable and nonspecific; therefore a high level of clinical suspicion is required to diagnose it. It is often an incidental f...

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Autores principales: Wurmann,Pamela, Sabugo,Francisca, Cruz,Julio, Dí­az,Gonzalo, Sánchez,Felipe, Pino,Sandra, Pezo,Ninette, Díaz,Juan Carlos, Fernández,Cristina
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2014
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700015
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spelling oai:scielo:S0034-988720140007000152014-12-10Aortitis, causas infrecuentes en Reumatología: presentación de casosWurmann,PamelaSabugo,FranciscaCruz,JulioDí­az,GonzaloSánchez,FelipePino,SandraPezo,NinetteDíaz,Juan CarlosFernández,Cristina Anti-Neutrophil Cytoplasmic Antibody-associated vasculitis Aortitis Lupus erythematosus systemic Sarcoidosis Aortitis is a nonspecific term that describes an inflammation of the aortic wall caused by inflammatory, infectious, paraneoplastic and idiopathic diseases. The symptoms are variable and nonspecific; therefore a high level of clinical suspicion is required to diagnose it. It is often an incidental finding while looking for other diagnoses and it is confirmed mainly through imaging studies. We report three cases of aortitis: A 29-year-old woman presenting with alopecia, oral and nasal ulcers and positive antinuclear antibodies. A CAT scan showed a segmental thickening of thoracic aorta, with dilated and stenotic areas. She was successfully treated with steroids, hydroxychloroquine, cyclophosphamide and azathioprine. A 41-year-old male presenting with dorsal pain and cough. The CAT scan showed an extra-intimal thickening of the descending aorta and stenosis of the celiac artery. The final diagnosis was a polyangiitis and was treated with steroids, cyclophosphamide and azathioprine. A 28-year-old woman presenting with pain in the left upper abdomen. Imaging studies showed a thickening of the aortic arch and subclavian artery. The final diagnosis was sarcoidosis and the patient was treated with prednisone.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.7 20142014-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700015es10.4067/S0034-98872014000700015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Anti-Neutrophil Cytoplasmic Antibody-associated vasculitis
Aortitis
Lupus erythematosus systemic
Sarcoidosis
spellingShingle Anti-Neutrophil Cytoplasmic Antibody-associated vasculitis
Aortitis
Lupus erythematosus systemic
Sarcoidosis
Wurmann,Pamela
Sabugo,Francisca
Cruz,Julio
Dí­az,Gonzalo
Sánchez,Felipe
Pino,Sandra
Pezo,Ninette
Díaz,Juan Carlos
Fernández,Cristina
Aortitis, causas infrecuentes en Reumatología: presentación de casos
description Aortitis is a nonspecific term that describes an inflammation of the aortic wall caused by inflammatory, infectious, paraneoplastic and idiopathic diseases. The symptoms are variable and nonspecific; therefore a high level of clinical suspicion is required to diagnose it. It is often an incidental finding while looking for other diagnoses and it is confirmed mainly through imaging studies. We report three cases of aortitis: A 29-year-old woman presenting with alopecia, oral and nasal ulcers and positive antinuclear antibodies. A CAT scan showed a segmental thickening of thoracic aorta, with dilated and stenotic areas. She was successfully treated with steroids, hydroxychloroquine, cyclophosphamide and azathioprine. A 41-year-old male presenting with dorsal pain and cough. The CAT scan showed an extra-intimal thickening of the descending aorta and stenosis of the celiac artery. The final diagnosis was a polyangiitis and was treated with steroids, cyclophosphamide and azathioprine. A 28-year-old woman presenting with pain in the left upper abdomen. Imaging studies showed a thickening of the aortic arch and subclavian artery. The final diagnosis was sarcoidosis and the patient was treated with prednisone.
author Wurmann,Pamela
Sabugo,Francisca
Cruz,Julio
Dí­az,Gonzalo
Sánchez,Felipe
Pino,Sandra
Pezo,Ninette
Díaz,Juan Carlos
Fernández,Cristina
author_facet Wurmann,Pamela
Sabugo,Francisca
Cruz,Julio
Dí­az,Gonzalo
Sánchez,Felipe
Pino,Sandra
Pezo,Ninette
Díaz,Juan Carlos
Fernández,Cristina
author_sort Wurmann,Pamela
title Aortitis, causas infrecuentes en Reumatología: presentación de casos
title_short Aortitis, causas infrecuentes en Reumatología: presentación de casos
title_full Aortitis, causas infrecuentes en Reumatología: presentación de casos
title_fullStr Aortitis, causas infrecuentes en Reumatología: presentación de casos
title_full_unstemmed Aortitis, causas infrecuentes en Reumatología: presentación de casos
title_sort aortitis, causas infrecuentes en reumatología: presentación de casos
publisher Sociedad Médica de Santiago
publishDate 2014
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700015
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