成功逆转HIV相关非动脉瘤性血管炎中危及生命的颈动脉闭塞

Successful reversal of threatening carotid artery occlusion in HIV-associated non-aneurysmal vasculitis.

作者信息

Taylor C L, Varma A, Herwadkar A, Bonington A

机构信息

Monsall Unit, Department of Infectious Diseases and Tropical Medicine, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK.

出版信息

Int J STD AIDS. 2008 Feb;19(2):141-2. doi: 10.1258/ijsa.2007.007187.

DOI:10.1258/ijsa.2007.007187

PMID:18334077

Abstract

We report a case of HIV-associated carotid vasculitis, causing cerebral infarction. Immediate corticosteroid treatment was followed by improvement, with radiological documentation of reversal of the vasculitic changes, preventing arterial occlusion. Vasculitis should be considered as a diagnosis in stroke in HIV and steroid treatment considered as a potentially life-saving intervention.

摘要

我们报告一例与HIV相关的颈动脉血管炎导致脑梗死的病例。立即给予皮质类固醇治疗后病情改善，血管炎改变逆转的影像学证据显示其预防了动脉闭塞。血管炎应被视为HIV患者卒中的一个诊断，而类固醇治疗应被视为一种可能挽救生命的干预措施。