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Aortitis requiring aortic repair associated with glaucoma, thyroiditis, glaucoma, and neuropathy: case report
Claudia Stöllberger1, Marion Avanzini, Aileen Hanafin
12nd Medical department, Krankenanstalt Rudolfstiftung, Österreich, Austria. claudia.stoellberger@chello.at
Abstract:
Aortitis may be due to infectious and non-infectious causes. We observed aortitis, associated with glaucoma, thyroiditis, pericarditis, pleural effusion and neuropathy in a 63-years old woman. Despite antibiotic therapy, inflammatory signs persisted and resolved only after initiation of glucocorticoid therapy. Increasing aortic ectasia necessitated resection of the ascending aorta and implantation of a Vascutek 30 mm prosthesis. Histologically a granulomatous aortitis was diagnosed. Since all other possible causes were excluded, an immunological mechanism of the aortitis is suspected and possible triggering factors are discussed.
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