Abstract | UNLABELLED: CASE STUDY: The diagnosis of ankylosing spondylitis was retained in a 64-year-old woman suffering from inflammatory back and neck pain combined with buttock pain relieved by anti-inflammatory drugs ( NSAIDs) since 2004 and more recent bilateral heel pain in the morning since 2006; sacroiliitis was grade 3 on the right and grade 2 on the left (modified New-York criteria). The patient had remained asymptomatic from April 2006 to 2007 with NSAID as needed. Nevertheless, biological inflammation persisted: erythrocyte sedimentation rate 44 to 55 mm/h, activated protein C 34 to 90 mg/L. Complementary examinations are negative: bilateral temporal artery biopsy, endoscopy with duodenal biopsy looking for Tropheryma whipplei. The thoraco-abdominal and pelvic CT scan revealed aortitis extending from the abdominal aorta to the iliac axis. Treatment with prednisone 0.5 mg/kg was started to decrease the inflammatory aortitis. DISCUSSION: The most "classical" cardiovascular damage observed in spondylitis is aortic insufficiency and conduction disturbances. The first cases of aortitis were reported in 1958. CONCLUSION:
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Authors | C Lassalle, M-F Lonchampt, X Puechal, E Dernis |
Journal | Journal des maladies vasculaires
(J Mal Vasc)
Vol. 36
Issue 3
Pg. 200-8
(Jun 2011)
ISSN: 2214-8116 [Electronic] France |
Vernacular Title | Aortite thoraco-abdominale au cours d'une spondylarthrite ankylosante: un nouveau cas et revue de la littérature. |
PMID | 21531097
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
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Copyright | Copyright © 2011 Elsevier Masson SAS. All rights reserved. |
Topics |
- Aorta, Abdominal
- Aorta, Thoracic
- Aortitis
(etiology)
- Female
- Humans
- Male
- Middle Aged
- Spondylitis, Ankylosing
(complications)
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