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[Horton's disease with bilateral axillohumeral localization. Arteriographic aspects. 2 cases]
Journal De Radiologie
|August 1, 1984
Insights
Recognizing subclavian artery lesions is crucial for diagnosing Horton
Area of Science:
- Vascular Surgery
- Rheumatology
- Diagnostic Imaging
Background:
- Subclavian artery lesions can cause ischemic symptoms or be found during routine checks.
- Early recognition is vital for diagnosing conditions like Horton's disease.
Observation:
- Bilateral segmental lesions with thrombosis were observed via subclavian angiography.
- Histological examination confirmed arteritis as the underlying cause.
Findings:
- Corticosteroid therapy effectively resolved ischemic signs.
- Restoration of normal pulse was observed following treatment.
Implications:
- Prompt diagnosis and treatment of these lesions can prevent severe ischemic complications.
- Corticosteroids are a key treatment for Horton's disease, improving patient outcomes.
Abstract:
These lesions, which may present with ischaemic symptoms or which may be detected by routine examination of the pulse and blood pressure, need to be recognised, as they may lead to the diagnosis of Horton's disease which requires corticosteroid treatment. Subclavian angiography demonstrates bilateral segmental lesions with areas of thrombosis. The histology confirms the arteritis. Corticosteroid treatment caused the ischaemic signs to disappear and the pulse to return.