Arteritis de células gigantes con compromiso de aorta y grandes vasos / Aortitis and large vessel involvement in giant cell arteritis
Rev. chil. reumatol
;
32(1): 7-12, 2016. ilus
Article
in Spanish
| LILACS
| ID: biblio-869805
RESUMEN
La arteritis de células gigantes (ACG) es una vasculitis sistémica de grandes vasos que no solo puede afectar a vasos craneales, si no que cada vez más frecuentemente se ha asociado a compromiso de vasos extracraneales. Este compromiso puede ser asintomático por lo que puede pasar inadvertido al estudio clínico básico y llevar a importantes complicaciones. Se presentan dos casos clínicos de ACG, ambos con aortitis y uno, además, con compromiso de grandes vasos del cayado aórtico y del cuello. Se discuten aspectos fisiopatológicos, clínicos y terapéuticos, con el objetivo de vislumbrar estrategias de abordaje de futuros pacientes con presentaciones similares.
ABSTRACT
Giant cell arteritis (GCA) is a age related, large vessels systemic vasculitis that not only affect cranial vessels, but is increasingly associated with extracranial vessel involvement. This extracranial involvement can be asymptomatic, so it can go unnoticed after basic clinical and laboratory study and lead to serious complications. We report two cases of GCA, both presenting aortitis and one of them presenting also involvement of aortic arch and of neck large vessels. We discuss physiopathologic, clinic and therapeutic aspects, with the aims of developing management strategies for the future patients with similar manifestations.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Giant Cell Arteritis
/
Vascular Diseases
Type of study:
Etiology study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. chil. reumatol
Journal subject:
Rheumatology
Year:
2016
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico San Borja Arriarán/CL
/
Universidad de Chile/CL
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