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[PMID]: | 28859604 |
[Au] Autor: | Skeik N; Ostertag-Hill CA; Garberich RF; Alden PB; Alexander JQ; Cragg AH; Manunga JM; Stephenson EJ; Titus JM; Sullivan TM |
[Ad] Endereço: | 1 Vascular Medicine, Minneapolis Heart Institute, Minneapolis, MN, USA. |
[Ti] Título: | Diagnosis, Management, and Outcome of Aortitis at a Single Center. |
[So] Source: | Vasc Endovascular Surg;51(7):470-479, 2017 Oct. | [Is] ISSN: | 1938-9116 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: Aortitis is a rare condition with inflammatory or infectious etiology that can be difficult to diagnose due to the highly variable clinical presentation and nonspecific symptoms. However, current literature on the diagnosis, management, and prognosis of aortitis is extremely scarce. METHODS: We retrospectively reviewed all patients' charts who were diagnosed with giant cell arteritis, Takayasu arteritis, or noninfectious aortitis presenting at a single center between January 1, 2009, and April 17, 2015. Data collected included demographics, medical history, comorbidities, laboratory and imaging data, management, and outcome. RESULTS: Among the included 15 patients presenting with aortitis at our center, 53% were diagnosed with Takayasu arteritis, 33% with idiopathic inflammatory aortitis, and 13% with giant cell arteritis. All patients received steroid treatment, 67% received adjunctive immunosuppressants or immunomodulators, and 33% underwent interventional procedures. Based on clinical presentation and laboratory and imaging findings at the last follow-up visit for each patient, 67% showed improvement, 27% had no change in disease activity, and 7% had a progression of the disease. CONCLUSIONS: Takayasu arteritis was found to be more common than idiopathic inflammatory aortitis and giant cell arteritis among our 15 cases diagnosed with aortitis. All patients received medical therapy and 33% received interventional procedures, leading to 67% improvement of disease activity or related complications. This article also offers a comprehensive review of the diagnosis, management, and outcome of aortitis, supplementing the very limited literature on this disease. |
[Mh] Termos MeSH primário: |
Aortite/diagnóstico por imagem Aortite/terapia Procedimentos Endovasculares Arterite de Células Gigantes/diagnóstico por imagem Arterite de Células Gigantes/terapia Imunossupressores/uso terapêutico Esteroides/uso terapêutico Arterite de Takayasu/tratamento farmacológico Arterite de Takayasu/terapia
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[Mh] Termos MeSH secundário: |
Adulto Idoso Idoso de 80 Anos ou mais Aortite/epidemiologia Progressão da Doença Procedimentos Endovasculares/efeitos adversos Feminino Arterite de Células Gigantes/epidemiologia Seres Humanos Imunossupressores/efeitos adversos Masculino Meia-Idade Minnesota/epidemiologia Indução de Remissão Estudos Retrospectivos Esteroides/efeitos adversos Arterite de Takayasu/epidemiologia Fatores de Tempo Resultado do Tratamento
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; REVIEW |
[Nm] Nome de substância:
| 0 (Immunosuppressive Agents); 0 (Steroids) |
[Em] Mês de entrada: | 1710 |
[Cu] Atualização por classe: | 171030 |
[Lr] Data última revisão:
| 171030 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170902 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1177/1538574417704296 |
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