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1.
Rev. méd. Chile ; 143(9): 1206-1209, set. 2015. ilus
Artigo em Espanhol | LILACS | ID: lil-762690

RESUMO

Pauci-immune glomerulonephritis in systemic vasculitides usually have anti-neuthrophil cytoplasmic antibodies (ANCA). However, vasculitides of large vessels such as Takayasu’s and giant cell (temporal) arteritis do not. Exceptionally ANCA(+) small vessel vasculitides are associated with large vessel vasculitis. It may be a coincidence or both vasculitides have a common pathogenesis. We report a 30 years old woman on hemodialysis due to a chronic glomerulonephritis ANCA(+) diagnosed nine years ago. Eight years later, she presented with an aortitis with severe stenosis of distal aorta and vasculitis of left subclavian artery. She was treated with adrenal steroids and cyclophosphamide. During the ensuing five years she has been stable and without signs of reactivation of the disease.


Assuntos
Adulto , Feminino , Humanos , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/tratamento farmacológico , Estenose da Valva Aórtica/tratamento farmacológico , Aortite/tratamento farmacológico , Ciclofosfamida/uso terapêutico , Esteroides/uso terapêutico , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/complicações , Estenose da Valva Aórtica/diagnóstico , Aortite/diagnóstico , Insuficiência Renal/complicações , Arterite de Takayasu/tratamento farmacológico
2.
J. vasc. bras ; 14(2): 193-196, Apr.-June 2015. ilus
Artigo em Inglês | LILACS | ID: lil-756475

RESUMO

Behcet's disease is form of systemic vasculitis of unknown etiology. One surprising feature is that arterial involvement is less common in this disease than venous forms, accounting for 1 to 7% of patients. In 7 to 30% of cases the vascular symptoms precede the clinical diagnosis of Behcet. We describe the case of a patient with Thromboangiitis Obliterans who was treated with lumbar sympathectomy and an aortobiiliac bypass. Around 1 year later he was diagnosed with Behcet's disease after presenting with oral ulcers, genital ulcers and scaling lesions on the hands.


A Doença de Behçet é uma vasculite sistêmica de etiologia desconhecida. O inusitado é que o acometimento arterial nesta doença é menos comum que o venoso, correspondendo a 1 a 7% dos pacientes. Já os sintomas vasculares precedem o diagnóstico clínico de Behçet em 7 a 30%. Relatamos o caso de um paciente portador de Tromboangeíte Obliterante que foi submetido a simpatectomia lombar e derivação aorto-bi-ilíaca. Após cerca de um ano, diagnosticou-se Doença de Behçet, devido a quadro clínico de úlceras orais, genitais e lesões descamativas nas mãos.


Assuntos
Humanos , Masculino , Adulto , Síndrome de Behçet , Diagnóstico Tardio , Doença Arterial Periférica , Trombose/complicações , Trombose/terapia , Aortite/complicações , Doença Crônica , Artérias da Tíbia
4.
Rev. méd. Chile ; 142(7): 924-929, jul. 2014. ilus
Artigo em Espanhol | LILACS | ID: lil-726182

RESUMO

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.


Assuntos
Adulto , Feminino , Humanos , Masculino , Aortite , Aortite/etiologia , Tomografia Computadorizada por Raios X
5.
Rev. méd. Chile ; 142(5): 646-650, mayo 2014. ilus
Artigo em Espanhol | LILACS | ID: lil-720673

RESUMO

Due to its multisystem involvement, IgG4 -related disease should be considered in the differential diagnosis of medical conditions such as lymphadenopathies, aortitis, serositis and retroperitoneal fibrosis. It shares features with other entities historically described as "great mimickers" such as syphilis, tuberculosis, sarcoidosis, and systemic lupus erythematosus. We report a 40 year-old male with recurrent effusive - constrictive pericarditis, lymphadenopathy and aortitis. The study revealed an inactive tuberculosis with negative cultures for acid fast bacilli. The patient had high serum levels of IgG4 and a mediastinal lymph node biopsy was consistent with IgG4 -related disease. The patient was treated with prednisone 40 mg/day with an excellent response.


Assuntos
Adulto , Humanos , Masculino , Aortite/diagnóstico , Imunoglobulina G/sangue , Doenças Linfáticas/diagnóstico , Aortite/sangue , Biópsia , Diagnóstico Diferencial , Doenças Linfáticas/sangue , Tomografia Computadorizada por Raios X
6.
Acta méd. colomb ; 34(2): 85-87, abril.-junio. 2009. ilus
Artigo em Espanhol | LILACS | ID: lil-523808

RESUMO

La infección por Streptococcus equi zooepidemicus es propia de animales y en el hombre es generalmente accidental con reporte de pocos casos. Presentamos el caso de un hombre de 56 años, matarife, con cuadro de dolor abdominal, documentándose por TAC y en cirugía dilatación aneurismática de la aorta por debajo de las renales, con colección purulenta y ulceración del vaso de donde se aisló Streptococcus equi zooepidemicus, aislándose también la bacteria de los hemocultivos.


Assuntos
Humanos , Aneurisma da Aorta Abdominal , Aortite , Bacteriemia , Streptococcus equi , Zoonoses
7.
Säo Paulo med. j ; 119(4): 150-153, July 2001. ilus, tab
Artigo em Inglês | LILACS | ID: lil-302322

RESUMO

CONTEXT: Primary aortoenteric fistulas usually result from erosion of the bowel wall due to an associated abdominal aortic aneurysm. A few patients have been described with other etiologies such as pseudoaneurysm originating from septic aortitis caused by Salmonella. OBJECTIVE: To present a rare clinical case of pseudoaneurysm caused by septic aortitis that evolved into an aortoenteric fistula. CASE REPORT: A 65-year-old woman was admitted with Salmonella bacteremia that evolved to septic aortitis. An aortic pseudoaneurysm secondary to the aortitis had eroded the transition between duodenum and jejunum, and an aortoenteric fistula was formed. In the operating room, the affected aorta and intestinal area were excised and an intestine-to-intestine anastomosis was performed. The aorta was sutured and an axillofemoral bypass was carried out. In the intensive care unit, the patient had a cardiac arrest that evolved to death


Assuntos
Humanos , Feminino , Idoso , Falso Aneurisma , Doenças da Aorta , Aortite , Fístula , Fístula Intestinal , Sepse , Falso Aneurisma , Aorta , Doenças da Aorta , Aortite , Fístula , Fístula Intestinal
8.
Medicina (B.Aires) ; 55(4): 341-4, 1995.
Artigo em Espanhol | LILACS | ID: lil-161638

RESUMO

Endovascular infection of atherosclerotic aorta is a rare event in the setting of aged patients gram negative bacteremia of the salmonella group. Until the beginning of the 60s this meant an ominous diagnosis with an almost unavoidable fatal prognosis. Presently, this trend has been reverted, mostly due to an earlier diagnosis, the development of more sophisticated imaging techniques, the correct use of broad spectrum bactericidal antibiotics and prompt surgical management. Paradoxically, the incidence of arterial infections has increased in recent years, specially in old people with atherosclerotic abdominal aortic aneurysms, in whom infective endocarditis could not be demonstrated. We describe the case of a 65 year old man, with a history of long-standing non-insulin-dependent diabetes, presenting with protracted fever, weight loss and thigh pain. Blood cultures and serologic studies as well as several echocardiograms yielded negative results. An abdominal CT scan showed an infrarenal aortic aneurysm raising the clinical suspicion of arterial infection of abdominal aorta. The patient underwent surgery because of highly presumptive diagnosis of complicated aortic aneurysm. The resection was followed by an in situ graft. There was no evidence of disruption or gross collection. Samples of the aortic wall and perianeurysmatic fluid grew Salmonella enteritides. We describe the main etiopathogenic and clinic features of the entity highlighting the high sensitivity and specificity of the CT scan in the identification and characterization of infected aortic aneurysm. Certain features may firmly suggest this diagnosis without using preoperative aortography.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Aortite/etiologia , Febre de Causa Desconhecida/etiologia , Infecções por Salmonella/complicações , Aneurisma da Aorta Abdominal/complicações , Aortite/terapia , Infecções por Salmonella/diagnóstico , Salmonella enteritidis/isolamento & purificação , Tomografia Computadorizada por Raios X
9.
An. oftalmol ; 10(1): 74-6, 1991.
Artigo em Português | LILACS | ID: lil-152294

RESUMO

Um caso de Doença de Takayasu com comprometimento retiniano é descrito bem como o tratamento realizado através de foto-coagulaçäo


Assuntos
Humanos , Feminino , Adulto , Arterite de Takayasu/diagnóstico , Arterite de Takayasu/tratamento farmacológico , Arterite de Takayasu/cirurgia , Arterite de Takayasu/terapia , Angiografia , Síndromes do Arco Aórtico , Aortite
10.
Arq. bras. cardiol ; 37(3): 195-8, 1981.
Artigo em Português | LILACS | ID: lil-5185

RESUMO

E relatado o caso de uma paciente de 10 anos de idade com dados clinicos tipicos de coartacao da aorta toracica. O estudo angiografico demonstrou estreitamento severo da parte media da aorta toracica descendente.A paciente foi submetida a tratamento cirurgico, verificou-se trata-se de uma aortite e foi realizada ampliacao da zona estreitada com placa de teflon. A paciente teve excelente resultado clinico e angiografico. Sao feitos comentarios relativos a natureza da aorto-arterite e a tecnica operatoria empregada


Assuntos
Aortite , Retalhos Cirúrgicos
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