Aortitis and periaortic fibrosis.
A 45-year-old man presented with bilateral lower extremity claudication due to aortitis and periaortic fibrosis. This variety of aortitis has been described in the pathologic literature as chronic periaortitis, a subset of idiopathic retroperitoneal fibrosis. The association of this aortitis with abdominal aortic aneurysm has been described in the surgical literature as inflammatory abdominal aortic aneurysms. These entities are thought to be secondary to the same disease process. We review the possible etiology, diagnostic considerations, and management of these aortidites.
Lance
N J
NJ
Division of Rheumatology, Michael Reese Hospital and Medical Center, Chicago, IL 60616.
Levinson
D J
DJ
D000792:Angiography; D001011:Aorta / Q000473:pathology*; D001025:Aortitis / Q000150:complications* / Q000473:pathology; D001027:Aortography; D005355:Fibrosis; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology*; D007866:Leg / Q000098:blood supply; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged