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Revision as of 15:24, 11 August 2013

Aortitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Aortitis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

[1]

American Roentgen Ray Society Images of Aortitis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

on Aortitis

CDC on Aortitis

in the news

Blogs on Aortitis

Directions to Hospitals Treating Aortitis

Risk calculators and risk factors for Aortitis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Overview

Aortitis is the inflammation of the aortic wall. The disorder is potentially life-threatening and rare. It is reported that there are only 1-3 new cases of aortitis per year per million people in the United States and Europe.[1] Aortitis is found in a wide range of ages spanning from 10 to 40 years of age.[1]

Causes

This inflammation has a number of possible causes, including trauma, viral infection, certain immune disorders, and bacterial infection (notably, syphilis).[1]

Causes are associated with infections or immune and connective tissue disorders. Aortitis is most commonly seen in patients with syphilis, autoimmune vasculitis, giant cell arteritis, Takayasu’s arteritis, and rheumatoid arthritis. [2] There is a wide range of symptoms that are dependent on the location of the aortic inflammation or associated disorder. A few symptoms recognized in patients are fever, chills, myalgias (muscle pain), and malaise (general discomfort).[2] In addition, hypertension (high blood pressure) may occur. Hypertension happens when the retinal artery narrows and elasticity of the aorta and branches decrease. [3]

Treatment

Management appears to include the following treatment priorities; stop the inflammation, treat complications, prevent and monitor for re-occurrence.

Prognosis

If untreated, has three distinct phases.[1] A prepulseless inflammatory stat. Phase two includes vascular inflammation with pain secondary to the condition, along with tenderness to palpation over the site. Last phase includes symptoms of ischemia and pain associated with the use of limbs. Limbs are also cool and clammy in this stage.

References

  1. 1.0 1.1 1.2 1.3 "eMedicine - Aortitis : Article by Masato Okada, MD, FACP, FACR, FAAAAI". Archived from the original on 14 July 2007. Retrieved 2007-07-28.
  2. 2.0 2.1 [Taber's Cyclopedic Medical Dictionary. 19th ed. Philadelphia: F.A. Davis, 2001.]
  3. Link text, American Heart Association.

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