Rheumatology Section, Department of Internal Medicine, Faculty of Medicine, Gazi University, 06500, Beşevler, Ankara, Turkey.
Rheumatol Int. 2011 Jul;31(7):941-3. doi: 10.1007/s00296-009-1233-8. Epub 2009 Nov 10.
A 59-year-old man suffering from abdominal pain and having high acute phase reactants was admitted to hospital. Aortitis was discovered incidentally with magnetic resonance that was performed for another prediagnosis. Steroid and azathioprine combination was unsuccessful for remission and preventing relapses. However, steroid and methotrexate combination was successful for clinical and laboratory remissions. Also, the iliac artery occlusion was improved with stent implementation. In general, isolated idiopathic aortitis is a very rare entity and hard to be diagnosed. In this case, we describe a patient with aortitis that has only abdominal pain and treated with steroid and methotrexate combination.
一位 59 岁的男性因腹痛和急性期反应物升高而住院。在为另一个预诊断进行的磁共振检查中偶然发现了主动脉炎。类固醇和硫唑嘌呤联合治疗未能缓解疾病并预防复发。然而，类固醇和甲氨蝶呤联合治疗在临床和实验室缓解方面取得了成功。此外，通过支架置入术改善了髂动脉闭塞。一般来说，孤立性特发性主动脉炎是一种非常罕见的疾病，难以诊断。在这种情况下，我们描述了一例仅表现为腹痛的主动脉炎患者，采用类固醇和甲氨蝶呤联合治疗。
