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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
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Du-Moxibustion in a Mouse Model of Ankylosing Spondylitis
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Published on: October 27, 2023

Aortitis and periaortitis in ankylosing spondylitis.

Carlo Palazzi1, Carlo Salvarani, Salvatore D'Angelo

  • 1Rheumatology Department of Lucania, San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera, Potenza and Matera, Italy. kaps57@virgilio.it

Joint Bone Spine
|December 28, 2010
PubMed
Summary

Ankylosing spondylitis can lead to serious aortic complications like aortitis and periaortitis. Early recognition and treatment of these conditions are crucial for improving patient prognosis.

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Area of Science:

  • Cardiology
  • Rheumatology
  • Vascular Medicine

Background:

  • Ankylosing spondylitis (AS) is a chronic inflammatory disease.
  • Aortic involvement, including aortitis and periaortitis, is a serious complication of AS.
  • These conditions can lead to significant morbidity and mortality if untreated.

Purpose of the Study:

  • To highlight the potential for aortic complications in ankylosing spondylitis.
  • To emphasize the importance of recognizing and managing aortitis and periaortitis in AS patients.

Main Methods:

  • Review of clinical manifestations and pathological findings in AS patients with aortic involvement.
  • Discussion of diagnostic considerations and treatment strategies for aortitis and periaortitis.

Main Results:

  • Aortic root inflammation and fibrosis are common, leading to aortic regurgitation.
  • Conduction system abnormalities, such as atrioventricular blocks, can occur.
  • Periaortitis can cause compressive effects on adjacent structures, including ureters and vessels.

Conclusions:

  • Aortitis and periaortitis are significant, potentially life-threatening complications of ankylosing spondylitis.
  • Physicians must maintain a high index of suspicion for these conditions in AS patients.
  • Prompt diagnosis and management are essential for improving outcomes.