Sakakibara Y, Hiramatsu Y, Abe M, Ishimitsu T
Department of Surgery and Cardiology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
Angiology. 1998 Aug;49(8):665-7. doi: 10.1177/000331979804900813.
Takayasu's aortitis is rare in male patients. The authors describe the case of a 48-year-old man with a fever of unknown origin, progressive general fatigue, and dyspnea due to aortic regurgitation. A severely thickened aorta was noted during aortic valve replacement. The diagnosis was based on a histologic examination of an operative specimen of the ascending aorta. Takayasu's aortitis should be considered even in male patients with fever of unknown origin and progressive aortic regurgitation.
高安动脉炎在男性患者中较为罕见。作者描述了一名48岁男性患者的病例，该患者有不明原因发热、进行性全身乏力以及因主动脉瓣反流导致的呼吸困难。在进行主动脉瓣置换手术时发现主动脉严重增厚。诊断基于升主动脉手术标本的组织学检查。即使是不明原因发热且伴有进行性主动脉瓣反流的男性患者，也应考虑高安动脉炎的可能性。
