Milchert Marcin, Brzosko Marek
Ann Acad Med Stetin. 2014;60(2):37-9.
Aortitis is one of the manifestations of giant cell arteritis (GCA) and is included in its definition. There is a significantly increased risk of aortic aneurysm formation in GCA patients. In some GCA patients aortic aneurysm dissection is diagnosed only in autopsy. Monitoring of these patients, especially in long lasting disease, requires a doctor's awareness of the possibility of aneurysm formation and aortic aneurysm dissection. Based on the available reports it cannot be confirmed whether intensification of aortitis treatment in GCA prevents the development of aneurysms. This article presents an overview of the available literature and our own experience on a rational diagnosis of inflammation and aneurysms of the aorta in GCA, as well as the prospects for its prevention.
主动脉炎是巨细胞动脉炎(GCA)的表现之一,且包含在其定义之中。GCA患者发生主动脉瘤的风险显著增加。在一些GCA患者中,主动脉瘤夹层仅在尸检时才被诊断出来。对这些患者进行监测,尤其是对于病程较长的患者,需要医生意识到动脉瘤形成和主动脉瘤夹层的可能性。根据现有报告,无法确定GCA中主动脉炎治疗的强化是否能预防动脉瘤的发生。本文概述了现有文献以及我们自己在GCA中主动脉炎症和动脉瘤合理诊断方面的经验,以及其预防前景。