[Aortitis in giant cell arteritis]

Rev Med Interne. 2016 Apr;37(4):239-44. doi: 10.1016/j.revmed.2015.12.018. Epub 2016 Jan 15.
[Article in French]

Abstract

Aortitis is a frequent complication of giant cell arteritis. Imaging techniques can reveal the inflammation of the aortic wall. CT-scan can show circumferential aortic wall thickening, or TEP-scan can show aortic FDG-uptake. Aortic aneurysm and dissection is a feared but probably rare complication of the inflammation of the aortic wall during GCA. Screening for aortitis could be proposed for patients with symptoms of aortic involvement, for patients with signs of large vessels involvement (limb claudication, bruit) or for patients with incomplete response to treatment. The best follow-up and treatment are to be determined for the patients with aortitis related to GCA.

Keywords: Aortite; Aortitis; Artérite à cellules géantes; Giant cell arteritis; Maladie de Horton.

Publication types

  • Review

MeSH terms

  • Aortitis / diagnosis
  • Aortitis / epidemiology
  • Aortitis / etiology*
  • Aortitis / therapy
  • Diagnostic Imaging / methods
  • Giant Cell Arteritis / complications*
  • Giant Cell Arteritis / diagnosis
  • Giant Cell Arteritis / epidemiology
  • Giant Cell Arteritis / therapy
  • Humans
  • Incidence