Successful reversal of threatening carotid artery occlusion in HIV-associated non-aneurysmal vasculitis.
We report a case of HIV-associated carotid vasculitis, causing cerebral infarction. Immediate corticosteroid treatment was followed by improvement, with radiological documentation of reversal of the vasculitic changes, preventing arterial occlusion. Vasculitis should be considered as a diagnosis in stroke in HIV and steroid treatment considered as a potentially life-saving intervention.
Taylor
C L
CL
Monsall Unit, Department of Infectious Diseases and Tropical Medicine, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK. claretaylor@doctors.org.uk
Varma
A
A
Herwadkar
A
A
Bonington
A
A
D020943:AIDS Arteritis, Central Nervous System / Q000175:diagnosis / Q000188:drug therapy*; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000517:prevention & control*; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D002544:Cerebral Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014657:Vasculitis / Q000175:diagnosis / Q000188:drug therapy*
D000305:Adrenal Cortex Hormones