CASE REPORT
Dissecting aortic aneurysm of a patient with suspected polymyalgia rheumatica
Online publication date: 2010-04-08
Reumatologia 2009;47(6):381-384
KEYWORDS
ABSTRACT
A 62-year old patient was admitted to the rheumatology ward because of weakness, easy fatigue, fever, pain of the shoulder and pelvic girdle not improving after NSAIDs. Considering the patient’s examination and additional findings, polymyalgia rheumatica was suspected. The patient received corticosteroids, after which he felt better and a decrease of ESR was noticeable. Next the patient felt acute abdominal pain and since then he has suffered from constant abdominal pain and loss of weight. After some time blindness of the left eye and flaccid paresis of the left lower limb and the right upper limb appeared. Due to purulent colitis and liver failure the patient was directed to the Gastroenterology Clinic in Poznan, where angio-CT was done. This examination revealed dissecting aneurysm of the thoracic and abdominal aorta. After the cardio-surgery consultation the patient was directed to the cardio-surgery ward for further treatment.
REFERENCES (14)
1.
Salvarani C, Cantini F, Boiardi L, et al. Polymyalgia rheumatica. Best Pract Res Clin Rheumatol 2004; 18: 705-722. .
2.
Nothnagl T, Leeb BF. Diagnosis, differential diagnosis and treatment of polymyalgia rheumatica. Drugs Aging 2006; 5: 391-402. .
3.
Liang KP, Chowdhary VR, Michet CJ. Noninfectious ascending aortitis: A Case Series of 64 Patients. J Rheumatol 2009; 36: 2290-2297. .
4.
Salvarani C, Cantini F, Hunder GG. Polymyalgia rheumatica and giant-cell arteritis. Lancet 2008; 372: 234-245. .
5.
Unwin B, Williams CM, Gilliland W. Polymyalgia rheumatica and giant cell arteritis. Am Fam Physician 2006; 74: 1547-1554. .
6.
Gonzalez-Gay MA. Giant cell arteritis and polymyalgia rheumatica: two different but often overlapping conditions. Semin Arthritis Rheum 2004; 33: 289-293. .
7.
Charlton R. Polymyalgia rheumatica and its links with giant cell arteritis. Clin Med 2008; 8: 498-501. .
8.
Cantini F, Niccoli L, Storri L, et al. Are polymyalgia rheumatica and giant cell arteritis the same disease? Semin Arthritis Rheum 2004; 33: 294-301. .
9.
d'Ettorre G, Ceccarelli G, Zaffiri L, et al. Infectious aortitis and spondylodiscitis in patients with endovascular stents. Minerva Med 2009; 100: 167-170. 1.
10.
oga T, Miyashita T, Matsuoka Y, et al. Acute dissecting thoracic aortic aneurysm in a patient with polymyalgia rheumatica. Am J Med Sci 2007; 334: 386-388. .
11.
Iroi A, Miwa H, Iijima M, et al. The dissecting aortic aneurysm associated with polymyalgia rheumatica: a case report. No To Shinkei 1999; 51: 1051-1054. .
12.
Evans JM, O'Fallon WM, Hunder GG. Increased incidence of aortic aneurysm and dissection in giant cell (temporal) arteritis. A population-based study. Ann Intern Med 1995; 122: 502-507. .
13.
Aoki Y, Iwamoto M, Minota S. Clinical features in patients with polymyalgia rheumatica. Nihon Rinsho Meneki Gakkai Kaishi 2009; 32: 274-278. .
14.
Soubrier M, Dubost JJ, Ristori JM. Polymyalgia rheumatica: diagnosis and treatment. Joint Bone Spine 2006; 3: 599-605.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
| eISSN: | 2084-9834 |
| ISSN: | 0034-6233 |
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