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Chest pain in a patient with polyarteritis nodosa and Behcet's disease; myocardial infarction or aortic dissection?

Yıl 2021, Cilt: 3 Sayı: 3, 141 - 144, 29.07.2021
https://doi.org/10.46310/tjim.854261

Öz

Aortic diseases have high mortality and are usually late or misdiagnosed. Especially in patients with inflammatory vasculitis, diagnosis is often confused with other causes of chest pain and this causes a delay in diagnosis. Vascular complications are the most important predictors of mortality and morbidity in Behcet’s disease and also polyarteritis nodosa. The diagnosis of aortitis is usually obtained by vascular imaging, but partly made only by biopsy on occasion of an operation. Here we present a case of pathologically proven fatal aortitis and aortic dissection in a patient with Polyarteritis nodosa and Behcet's disease.

Kaynakça

  • Koc Y, Gullu I, Akpek G, Akpolat T, Kansu E, Kiraz S, et al. Vascular involvement in Behcet’s disease. J Rheumatol 1992;19:402–10.
  • Lie JT. Vascular involvement in Behcet’s disease: arterial and venous and vessels of all sizes. J Rheumatol 1992;19:341–3.
  • Bletry O, Motattane A, Wechsler B, et al. Cardiac manifestations of Behc¸et’s disease: twelve cases. Presse Med 1998;17:2388.
  • Bowles C, Nelson A, Hammill S, et al. Cardiac involvement in Behcet’s disease. Arthritis Rheum 1985;28:345.
  • Cid MC, Grau JM, Casademont J, Campo E, Coll-Vinent B, López-Soto A, et al. Immunohistochemical characterization of inflammatory cells and immunologic activation markers in muscle and nerve biopsy specimens from patients with systemic polyarteritis nodosa. Arthritis Rheum 1994;37:1055–61.
  • De Virgilio A, Greco A, Magliulo G, Gallo A, Ruoppolo G, Conte M, Martellucci S, de Vincentiis M. Polyarteritis nodosa: a contemporary overview. Autoimmunity reviews. 2016 Jun 1;15(6):564-70.
  • McWilliams ET, Khonizy W, Jameel A et al. Polyarteritis nodosa presenting as acute myocardial infarction in a young man: importance of invasive angiography.
  • Keith H. Chu,1 MD, Frank J. Menapace,1* MD, James C. Blankenship,1 MD, Ray Hausch,2 MD, and Thomas Harrington,2 MD et al. .Polyarteritis Nodosa Presenting as Acute Myocardial Infarction With Coronary Dissection.
  • Iino T, Eguchi K, Sakai M, Nagataki S, Ishijima M, Toriyama K. et al Polyarteritis nodosa with aortic dissection: necrotizing vasculitis of the vasa vasorum.
  • Caspary L. Inflammatory diseases of the aorta. Vasa. 2016 Jan 1;45(1):17-29.
  • Gornik HL, Creager MA. Aortitis. Circulation. 2008 Jun 10;117(23):3039-51.
Yıl 2021, Cilt: 3 Sayı: 3, 141 - 144, 29.07.2021
https://doi.org/10.46310/tjim.854261

Öz

Kaynakça

  • Koc Y, Gullu I, Akpek G, Akpolat T, Kansu E, Kiraz S, et al. Vascular involvement in Behcet’s disease. J Rheumatol 1992;19:402–10.
  • Lie JT. Vascular involvement in Behcet’s disease: arterial and venous and vessels of all sizes. J Rheumatol 1992;19:341–3.
  • Bletry O, Motattane A, Wechsler B, et al. Cardiac manifestations of Behc¸et’s disease: twelve cases. Presse Med 1998;17:2388.
  • Bowles C, Nelson A, Hammill S, et al. Cardiac involvement in Behcet’s disease. Arthritis Rheum 1985;28:345.
  • Cid MC, Grau JM, Casademont J, Campo E, Coll-Vinent B, López-Soto A, et al. Immunohistochemical characterization of inflammatory cells and immunologic activation markers in muscle and nerve biopsy specimens from patients with systemic polyarteritis nodosa. Arthritis Rheum 1994;37:1055–61.
  • De Virgilio A, Greco A, Magliulo G, Gallo A, Ruoppolo G, Conte M, Martellucci S, de Vincentiis M. Polyarteritis nodosa: a contemporary overview. Autoimmunity reviews. 2016 Jun 1;15(6):564-70.
  • McWilliams ET, Khonizy W, Jameel A et al. Polyarteritis nodosa presenting as acute myocardial infarction in a young man: importance of invasive angiography.
  • Keith H. Chu,1 MD, Frank J. Menapace,1* MD, James C. Blankenship,1 MD, Ray Hausch,2 MD, and Thomas Harrington,2 MD et al. .Polyarteritis Nodosa Presenting as Acute Myocardial Infarction With Coronary Dissection.
  • Iino T, Eguchi K, Sakai M, Nagataki S, Ishijima M, Toriyama K. et al Polyarteritis nodosa with aortic dissection: necrotizing vasculitis of the vasa vasorum.
  • Caspary L. Inflammatory diseases of the aorta. Vasa. 2016 Jan 1;45(1):17-29.
  • Gornik HL, Creager MA. Aortitis. Circulation. 2008 Jun 10;117(23):3039-51.
Toplam 11 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Case Reports
Yazarlar

Serkan Asıl 0000-0002-6782-4237

Hatice Taşkan 0000-0001-8309-6076

Ender Murat 0000-0002-0147-5476

Selen Eşki 0000-0002-2737-0349

Uygar Çağdaş Yüksel 0000-0003-1531-6967

Yayımlanma Tarihi 29 Temmuz 2021
Gönderilme Tarihi 5 Ocak 2021
Kabul Tarihi 28 Şubat 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 3 Sayı: 3

Kaynak Göster

EndNote Asıl S, Taşkan H, Murat E, Eşki S, Yüksel UÇ (01 Temmuz 2021) Chest pain in a patient with polyarteritis nodosa and Behcet’s disease; myocardial infarction or aortic dissection?. Turkish Journal of Internal Medicine 3 3 141–144.

e-ISSN: 2687-4245 

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