Gajaraj A, Victor S
Clin Radiol. 1981 Jul;32(4):461-6. doi: 10.1016/s0009-9260(81)80307-8.
Tuberculous aortoarteritis is a distinct entity. Despite the still wide prevalence of active tuberculosis in developing countries, tuberculous aortoarteritis appears to be rare. The vessel is often involved by a direct extension of the disease from adjacent tuberculous tissue. Occasionally it may result from blood-borne seedlings from an active distant focus. True and false aneurysms are the common manifestations. Stenosing and/or constricting types of lesions and perivascular fibrosis have been encountered by us. The probable pathogenesis is discussed with illustrative cases.
结核性主动脉动脉炎是一种独特的疾病。尽管发展中国家活动性结核病的患病率仍然很高,但结核性主动脉动脉炎似乎很少见。血管通常是由于疾病从相邻的结核组织直接蔓延而受累。偶尔,它可能由远处活动性病灶的血行播散引起。真性和假性动脉瘤是常见表现。我们还遇到过狭窄和/或缩窄型病变以及血管周围纤维化。本文通过实例对可能的发病机制进行了讨论。