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颈动脉综合征的短暂性血管周围炎症——一种罕见的颈前疼痛鉴别诊断:三例病例系列及文献综述

Transient perivascular inflammation of the carotid artery syndrome - A rare differential for anterior neck pain: Series of three cases and review of literature.

作者信息

Kamath Navaneeth, Kharkhele Reena, Waghela Rajendra, Aggrawal Anup, Mathew John, Padiyar Shivraj

机构信息

Department of Rheumatology, Christian Medical College, Vellore, Tamil Nadu, India.

Department of Rheumatology, Advanced Arthritis and Rheumatology Clinic, Navi Mumbai, Maharashtra, India.

出版信息

Mod Rheumatol Case Rep. 2025 Jan 16;9(1):122-126. doi: 10.1093/mrcr/rxae031.

Abstract

We report a series of three cases of transient perivascular inflammation of the carotid artery (TIPIC) syndrome in an otherwise healthy individual. We would also like to review this rare entity and compare it with other similar cases reported in the literature. Our first case was a young male with right-sided neck pain of 1-week duration with magnetic resonance imaging (MRI) showing right carotid perivascular inflammation which completely resolved after 2 weeks with anti-inflammatory drugs. In the second case, a young male presented with left-sided neck pain and odynophagia of 5 days duration with an MRI showing left carotid perivascular inflammation which completely resolved after 2 weeks with anti-inflammatory drugs. In the third case, a young male presented with right-sided neck pain of 1-day duration with an MRI showing right common carotid perivascular inflammation near the bifurcation with complete resolution in pain but with residual wall thickening. We want to highlight the existence of this new entity by reporting these three case series with a brief review of the literature. The cause and pathogenesis of this rare entity remain unknown. It has been hypothesised to be autoimmune or viral-mediated inflammation which requires further understanding.

摘要

我们报告了一例健康个体发生的三例颈动脉短暂性血管周围炎症(TIPIC)综合征。我们还将对这一罕见病症进行综述,并与文献中报道的其他类似病例进行比较。我们的首例病例是一名年轻男性,右侧颈部疼痛持续1周,磁共振成像(MRI)显示右侧颈动脉血管周围炎症,使用抗炎药物治疗2周后炎症完全消退。第二例病例是一名年轻男性,左侧颈部疼痛伴吞咽痛持续5天,MRI显示左侧颈动脉血管周围炎症,使用抗炎药物治疗2周后炎症完全消退。第三例病例是一名年轻男性,右侧颈部疼痛持续1天,MRI显示右侧颈总动脉分叉处附近血管周围炎症,疼痛完全缓解,但血管壁仍有增厚。我们希望通过报告这三个病例系列并简要回顾文献来强调这一新病症的存在。这种罕见病症的病因和发病机制尚不清楚。据推测,其可能是自身免疫性或病毒介导的炎症,这需要进一步研究。

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