Benites-Yshpilco Lindsay, Barriales-Revilla Lucia, Baltodano-Arellano Roberto, Falcón-Quispe Luis, Cupe-Chacalcaje Kelly, Cachicatari-Beltrán Ángela, Lévano-Pachas Gerald
Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. Hospital Guillermo Almenara Irigoyen - EsSalud Lima Perú.
Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú Universidad Nacional Mayor de San Marcos Facultad de Medicina Universidad Nacional Mayor de San Marcos Lima Peru.
Arch Peru Cardiol Cir Cardiovasc. 2024 Mar 19;5(1):50-53. doi: 10.47487/apcyccv.v5i1.317. eCollection 2024 Jan-Mar.
We present the case of a 56-year-old patient with fever of unknown origin associated with chest and lumbar pain. Multimodality imaging revealed diffuse peri-aortitis in the thoracic aorta without involvement of the aortic valve, contributing substantially to the diagnosis of Ig G4-associated aortitis. Immunosuppressive therapy was started. Follow-up at five months with cardiac magnetic resonance imaging showed a reduction in the inflammatory process in the thoracic aorta.
我们报告一例56岁不明原因发热伴胸痛和腰痛的患者。多模态成像显示胸主动脉弥漫性主动脉周围炎,未累及主动脉瓣,这对IgG4相关性主动脉炎的诊断有重要意义。开始进行免疫抑制治疗。五个月后进行心脏磁共振成像随访显示胸主动脉炎症过程减轻。