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Isolated Aortitis Presenting with an Annoying Persistent Cough: A Case Report
Michele Maria Luchetti1, William Capeci1, Matteo Rossini1
1Clinica Medica, Dipartimento Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona, Italy.
European Journal of Case Reports in Internal Medicine
|February 14, 2019
Summary
Idiopathic aortitis can present as a chronic cough. Early diagnosis using PET-CT and treatment with corticosteroids can lead to remission of this aortic inflammation.
Area of Science:
- Vascular Medicine
- Rheumatology
- Diagnostic Imaging
Background:
- Idiopathic aortitis is a rare inflammatory condition affecting the aorta.
- Symptoms can be nonspecific, leading to delayed diagnosis.
- Chronic cough is an unusual but potential presenting symptom.
Purpose of the Study:
- To present a case of idiopathic aortitis.
- To highlight chronic cough as a presenting symptom.
- To emphasize diagnostic and treatment strategies.
Main Methods:
- Case report of a 72-year-old male.
- Clinical presentation included dry cough, fatigue, weight loss, and elevated inflammatory markers.
- Diagnosis confirmed by PET-CT scan showing aortic thickening.
Main Results:
- PET-CT scan revealed diffuse thoracic aorta thickening, confirming aortitis.
- Systemic corticosteroid therapy was initiated.
- Complete remission of symptoms was achieved within six months.
Conclusions:
- Persistent dry cough of unknown origin warrants comprehensive evaluation.
- Aortitis should be considered in the differential diagnosis of unexplained cough with systemic inflammation.
- PET-CT is crucial for diagnosing aortitis, and corticosteroid therapy is effective for remission.
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