Grünholz Daniela, Poblete María Paz, Ovalle Loreto, Wainstein Eduardo, Rubio Gloria, Manríquez María, Kalbhenn Karin
Servicio de Reumatología, Hospital Militar de Santiago, Chile.
Medicina Interna, Facultad de Medicina, Universidad del Desarrollo, Santiago, Chile.
Rev Med Chil. 2016 Nov;144(11):1486-1490. doi: 10.4067/S0034-98872016001100016.
Large vessel vasculitis and particularly Temporal Arteritis are systemic diseases that may affect the aorta and its major branches, mainly involving extra cranial branches of the carotid artery. We report a 72-year-old man presenting with weight loss, fever and malaise. Positron emission computed tomography (PET CT) showed an extensive inflammation of the aorta and its major branches. Temporal artery biopsy confirmed the presence of vasculitis with granulomas. Treatment with a high dose of steroids had an excellent clinical response. This case underscores the utility of PET CT in the assessment of this disease.
大血管血管炎,尤其是颞动脉炎,是可能影响主动脉及其主要分支的全身性疾病,主要累及颈动脉的颅外分支。我们报告一名72岁男性,表现为体重减轻、发热和不适。正电子发射计算机断层扫描(PET CT)显示主动脉及其主要分支广泛炎症。颞动脉活检证实存在伴有肉芽肿的血管炎。高剂量类固醇治疗取得了良好的临床反应。该病例强调了PET CT在评估这种疾病中的作用。