Images in Clinical RheumatologyAortic Vasculitis in Patient With Systemic Lupus ErythematosusVasculitis aórtica en un paciente con lupus eritematoso sistémico☆
Introduction
Vasculitis of the aorta and its major branches is a very uncommon finding in systemic lupus erythematosus (SLE). We report the case of a 65-year-old woman with SLE who developed a vasculitic process affecting the aorta.
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Case Report
The patient was a 65-year-old woman, a native of the Philippines who, at the age of 18 years had had tuberculosis, which had been properly treated but left her with pleural fibrosis. At the age of 40 years, she had been diagnosed with SLE with no associated complications, which was being followed in rheumatology outpatient clinics. She came to our department with a 1-month history of asthenia, adynamia, hyporexia and weight loss related to this syndrome (5 kg in 2 months). She also complained of
Discussion
Aortitis is the inflammation of the aortic wall, with or without disruption of elastic fibers, necrosis or fibrosis, that can affect one or more layers; it is caused by a number of mechanisms.1 The incidence is around 1% to 22%, according to different series.1, 2 A variety of disorders can affect the aorta: infectious diseases like syphilis, staphylococci, tuberculosis or human immunodeficiency virus, vasculitides such as giant cell or Takayasu's arteritis, connective tissue diseases like SLE
Protection of human and animal subjects
The authors declare that no experiments were performed on humans or animals for this study.
Confidentiality of data
The authors declare that they have followed the protocols of their work center on the publication of patient data.
Right to privacy and informed consent
The authors declare that no patient data appear in this article.
Conflicts of Interest
The authors declare they have no conflicts of interest.
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Please cite this article as: Pérez Ruiz J, Salman-Monte TC, Pros-Simón A, Mestre-Fusco A, Carbonell i Abellò J. Vasculitis aórtica en un paciente con lupus eritematoso sistémico. Reumatol Clin. 2016;12:169–172.