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Chronic aortic dissection masquerading as systemic disease

A G Geppert1, A Mahvi, P Hainaut

  • 1Division of General Internal Medicine, Saint-Luc University Hospital, University of Louvain Medical School, Brussels, Belgium.

Acta Clinica Belgica
|May 1, 1998
PubMed
Summary
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Chronic aortic dissection can rarely mimic systemic illness with fever. Two cases showed prolonged fever, fatigue, and weight loss, with one resolving after surgery and the other spontaneously.

Area of Science:

  • Cardiovascular Medicine
  • Internal Medicine
  • Rheumatology

Background:

  • Aortic dissection is typically an acute condition.
  • Chronic aortic dissection is rare.
  • Systemic symptoms are unusual presentations of aortic dissection.

Observation:

  • Two patients presented with chronic aortic dissection.
  • Prominent symptoms included prolonged low-grade fever, fatigue, and weight loss.
  • Biological markers indicated an acute phase response.

Findings:

  • Surgical repair of a descending thoracic aorta aneurysm resolved systemic symptoms in one patient.
  • Spontaneous resolution of symptoms occurred in the second patient.
  • Chronic aortic dissection can manifest as a systemic illness.

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Implications:

  • Aortic dissection should be considered in cases of fever of unknown origin.
  • This presentation highlights the diverse clinical spectrum of aortic dissection.
  • Recognizing these rare presentations is crucial for timely diagnosis and management.