大動脈炎
WordNet
- inflammation of the aorta
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/06/08 21:53:37」(JST)
[Wiki en表示]
| Aortitis |
| Classification and external resources |
| Specialty |
cardiology |
| ICD-10 |
I77.6 |
| ICD-9-CM |
447.6 |
| eMedicine |
med/158 |
| MeSH |
D001025 |
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[edit on Wikidata]
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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 most common in people 10 to 40 years of age.[1]
Contents
- 1 Causes
- 2 Treatment
- 3 Prognosis
- 4 References
Causes
This inflammation has a number of possible causes, including trauma, viral or bacterial infections (notably, syphilis), and certain immune disorders and connective tissue diseases.[1]
Aortitis is most commonly seen in patients with syphilis, autoimmune vasculitis, giant cell arteritis, Takayasu's arteritis and rheumatoid arthritis.[2] IgG4-related disease is a more recently identified cause of aortitis and periaortitis.[3]
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, muscle pains, and malaise (general discomfort).[2] In addition, hypertension (high blood pressure) may occur. Hypertension happens when the renal artery narrows and elasticity of the aorta and branches decrease.[4]
Treatment
Treatment of aortitis depends on the underlying cause.[5] Infectious causes commonly require antibiotic treatment, while those associated with autoimmune vasculitides are generally treated with steroids.
Management includes the following treatment priorities: stop the inflammation, treat complications, prevent and monitor for re-occurrence.
Prognosis
If untreated, has three distinct phases.[1] The first is a prepulseless inflammatory stage with nonspecific symptoms such as fatigue, arthralgias, and low-grade fevers. Phase two includes vascular inflammation with pain secondary to the condition, along with tenderness to palpation over the site. The last phase includes symptoms of ischemia and pain associated with the use of limbs. Limbs are also cool and clammy in this stage.
References
- ^ a b c d "eMedicine - Aortitis : Article by Masato Okada, MD, FACP, FACR, FAAAAI". Archived from the original on 14 July 2007. Retrieved 2007-07-28.
- ^ a b [Taber's Cyclopedic Medical Dictionary. 19th ed. Philadelphia: F.A. Davis, 2001.]
- ^ John H. Stone; Arezou Khosroshahi; Vikram Deshpande; et al. (October 2012). "Recommendations for the nomenclature of IgG4-related disease and its individual organ system manifestations". Arthritis & Rheumatism 64 (10): 3061–3067. doi:10.1002/art.34593. PMID 22736240.
- ^ Link text, American Heart Association.
- ^ Gornik, H. L.; Creager, M. A. (2008). "Aortitis". Circulation 117 (23): 3039–51. doi:10.1161/CIRCULATIONAHA.107.760686. PMC 2759760. PMID 18541754.
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Cardiovascular disease (I70–I99, 440–456)
|
|
Arteries, arterioles
and capillaries |
| Inflammation |
- Arteritis
- Buerger's disease
|
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| Peripheral artery disease |
| Arteriosclerosis |
- Atherosclerosis
- Foam cell
- Fatty streak
- Atheroma
- Intermittent claudication
- Critical limb ischemia
- Monckeberg's arteriosclerosis
- Arteriolosclerosis
- Hyaline
- Hyperplastic
- Cholesterol
- LDL
- Oxycholesterol
- Trans fat
|
|
| Stenosis |
- Carotid artery stenosis
- Renal artery stenosis
|
|
| Other |
- Aortoiliac occlusive disease
- Degos disease
- Erythromelalgia
- Fibromuscular dysplasia
- Raynaud's phenomenon
|
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|
Aneurysm / dissection /
pseudoaneurysm |
- torso: Aortic aneurysm
- Abdominal aortic aneurysm
- Thoracic aortic aneurysm
- Aneurysm of sinus of Valsalva
- Aortic dissection
- Coronary artery aneurysm
- head / neck
- Intracranial aneurysm
- Intracranial berry aneurysm
- Carotid artery dissection
- Vertebral artery dissection
- Familial aortic dissection
|
|
| Vascular malformation |
- Arteriovenous fistula
- Arteriovenous malformation
- Telangiectasia
- Hereditary hemorrhagic telangiectasia
|
|
| Vascular nevus |
- Cherry hemangioma
- Halo nevus
- Spider angioma
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|
|
| Veins |
| Inflammation |
|
|
Venous thrombosis /
Thrombophlebitis |
- primarily lower limb
- abdomen
- Hepatic veno-occlusive disease
- Budd–Chiari syndrome
- May–Thurner syndrome
- Portal vein thrombosis
- Renal vein thrombosis
- upper limb / torso
- Mondor's disease
- Paget–Schroetter disease
- head
- Cerebral venous sinus thrombosis
- Post-thrombotic syndrome
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|
| Varicose veins |
- Gastric varices
- Portacaval anastomosis
- Caput medusae
- Esophageal varices
- Hemorrhoid
- Varicocele
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|
| Other |
- Chronic venous insufficiency
- Chronic cerebrospinal venous insufficiency
- Superior vena cava syndrome
- Inferior vena cava syndrome
- Venous ulcer
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| Arteries or veins |
- Angiopathy
- Macroangiopathy
- Microangiopathy
- Embolism
- Pulmonary embolism
- Cholesterol embolism
- Paradoxical embolism
- Thrombosis
- Vasculitis
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| Blood pressure |
| Hypertension |
- Hypertensive heart disease
- Hypertensive emergency
- Hypertensive nephropathy
- Essential hypertension
- Secondary hypertension
- Renovascular hypertension
- Benign hypertension
- Pulmonary hypertension
- Systolic hypertension
- White coat hypertension
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| Hypotension |
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UpToDate Contents
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English Journal
- Incidental necrotizing aortitis in a child.
- Wills S1.
- Forensic science, medicine, and pathology.Forensic Sci Med Pathol.2017 Jun;13(2):252-254. doi: 10.1007/s12024-017-9842-0. Epub 2017 Mar 6.
- PMID 28261753
- A Rare Cause of Primary Aortoenteric Fistula: Streptococcus parasanguinis Aortitis.
- Nehme F1, Rowe K1, Munguti C1, Nassif I1.
- Case reports in gastrointestinal medicine.Case Rep Gastrointest Med.2017;2017:9087308. doi: 10.1155/2017/9087308. Epub 2017 Jan 31.
- PMID 28255476
- New insights on tuberculous aortitis.
- Delaval L1, Goulenok T1, Achouh P2, Saadoun D3, Gaudric J4, Pellenc Q5, Kahn JE6, Pasi N7, van Gysel D8, Bruneval P9, Papo T10, Sacre K11.
- Journal of vascular surgery.J Vasc Surg.2017 Feb 18. pii: S0741-5214(17)30005-8. doi: 10.1016/j.jvs.2016.11.045. [Epub ahead of print]
- PMID 28254396
Japanese Journal
- 高安動脈炎における肺血管病変 (特集 肺血管炎の基礎と臨床)
- 症例 繰り返す人工弁脱落に対しFreestyleステントレス弁を用いて大動脈基部置換術を施行した大動脈炎症候群の1例
- 上田 高士,長嶋 和郎,川田 哲嗣 [他]
- 胸部外科 = The Japanese journal of thoracic surgery 67(3), 243-246, 2014-03
- NAID 40019987714
- 症例 血圧コントロールに難渋した大動脈炎症候群による異型大動脈縮窄に対し上行大動脈-腹部大動脈バイパス術を施行した1例
- 嶋田 直洋,田中 正史,片山 郁雄 [他]
- 胸部外科 = The Japanese journal of thoracic surgery 67(3), 239-242, 2014-03
- NAID 40019987678
Related Pictures
★リンクテーブル★
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梅毒性大動脈中膜炎