Altuwaijri Mansour, Altoijry Abdulmajeed
Division of Gastroenterology, Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, 11451 Riyadh, Saudi Arabia.
Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, 11472 Riyadh, Saudi Arabia.
Rev Cardiovasc Med. 2022 Apr 28;23(5):162. doi: 10.31083/j.rcm2305162. eCollection 2022 May.
Few vascultides have a predilection for the aorta. Among those are Takayasu arteritis, Behcet's disease, giant cell arteritis, and infectious aortitis. Diagnosis of aortitis requires a high index of suspicion since clinical features are atypical and nonspecific. However, many patients present with gastrointestinal manifestations owing to mesenteric involvement, intestinal infarction, and hepatitis. The most common vascultides that involve the aorta are Takayasu arteritis, Behcet's disease, giant cell arteritis, and infectious arteritis. Herewith, we review the literature on epidemiology, gastrointestinal manifestations, and management of each form of aortitis that affects the gastrointestinal tract.
很少有血管炎好发于主动脉。其中包括大动脉炎、白塞病、巨细胞动脉炎和感染性主动脉炎。主动脉炎的诊断需要高度怀疑，因为其临床特征不典型且无特异性。然而，许多患者由于肠系膜受累、肠梗死和肝炎而出现胃肠道表现。累及主动脉的最常见血管炎是大动脉炎、白塞病、巨细胞动脉炎和感染性动脉炎。在此，我们回顾了关于影响胃肠道的每种主动脉炎的流行病学、胃肠道表现及治疗的文献。
