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Aortic Dissection due to Eosinophilic Granulomatosis With Polyangiitis
1Division of Hospital Medicine, University of Tsukuba Hospital, Tsukuba, JPN.
Cureus
|October 5, 2020
Summary
Eosinophilic granulomatosis with polyangiitis (EGPA) can affect the aorta, a rare complication. Medical management proved effective for type B aortic dissection in a patient with EGPA.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Vascular Biology
Background:
- Eosinophilic granulomatosis with polyangiitis (EGPA) is a systemic vasculitis affecting small- and medium-sized vessels.
- Aortic involvement is an uncommonly reported manifestation of EGPA.
Observation:
- A 61-year-old female patient diagnosed with EGPA presented with type B aortic dissection.
- The aortic lesion remained stable during conservative medical management.
Findings:
- This case highlights that EGPA can manifest with aortic involvement, specifically type B aortic dissection.
- Conservative medical treatment can be a viable option for managing aortic complications in EGPA patients.
Implications:
- Clinicians should consider aortic pathology in EGPA patients presenting with acute back pain.
- Early recognition and appropriate management are crucial for patients with EGPA and suspected aortic involvement.
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