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Aortic arch arteritis in the elderly. An important manifestation of giant cell arteritis.

Abstract
Five elderly patients with aortic arch syndrome secondary to large-vessel vasculitis all presented with upper-extremity claudication and absence of blood pressure and pulses in the affected extremity. Diagnosis was suspected by a markedly elevated erythrocyte sedimentation rate associated with constitutional symptoms and angiograms showing changes consistent with arteritis of the aortic arch vessels. Treatment with high-dose corticosteroids resulted in rapid resolution of constitutional symptoms and improved functional use of the upper extremity. Recognition of this steroid-responsive disease is essential to avoid unnecessary reconstructive surgery and to prevent catastrophic events such as aortic dissection or visual loss, which may result from the underlying disease process.
AuthorsJ L Perruquet, D E Davis, T M Harrington
JournalArchives of internal medicine (Arch Intern Med) Vol. 146 Issue 2 Pg. 289-91 (Feb 1986) ISSN: 0003-9926 [Print] United States
PMID3947188 (Publication Type: Journal Article)
Chemical References
  • Adrenal Cortex Hormones
Topics
  • Adrenal Cortex Hormones (therapeutic use)
  • Aged
  • Aortic Arch Syndromes (diagnosis, drug therapy)
  • Female
  • Giant Cell Arteritis (diagnosis)
  • Humans
  • Male
  • Middle Aged

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