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Mediastinal mass caused by syphilitic aortitis
R Hofmann-Wellenhof1, W Domej, C Schmid
1Department of Medicine, Karl Franzens University, Graz, Austria.
Thorax
|May 1, 1993
Summary
A 47-year-old man
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Pathology
Background:
- Syphilitic aortitis is a rare cardiovascular complication of untreated syphilis.
- It typically affects the ascending aorta and aortic arch, leading to aneurysms or dissections.
Observation:
- A 47-year-old male presented with hoarseness and chest pain.
- Imaging revealed a mediastinal mass.
- The mass was diagnosed as proliferative syphilitic aortitis.
Findings:
- The syphilitic aortitis manifested as a mediastinal mass.
- Crucially, the aortic lumen remained unaffected.
- This presentation is atypical for syphilitic aortitis.
Implications:
- This case highlights an unusual presentation of syphilitic aortitis.
- It underscores the importance of considering syphilis in the differential diagnosis of mediastinal masses.
- Further research into atypical syphilitic aortitis presentations may improve diagnostic accuracy.