title: Abdominal pain may dominate the scene of idiopathic aortitis.
abstract: A 59-year-old man suffering from abdominal pain and having high acute phase reactants was admitted to hospital. Aortitis was discovered incidentally with magnetic resonance that was performed for another prediagnosis. Steroid and azathioprine combination was unsuccessful for remission and preventing relapses. However, steroid and methotrexate combination was successful for clinical and laboratory remissions. Also, the iliac artery occlusion was improved with stent implementation. In general, isolated idiopathic aortitis is a very rare entity and hard to be diagnosed. In this case, we describe a patient with aortitis that has only abdominal pain and treated with steroid and methotrexate combination.
authors.affiliation: Rheumatology Section, Department of Internal Medicine, Faculty of Medicine, Gazi University, 06500, Beşevler, Ankara, Turkey. engintez@yahoo.com
authors.forename: Mehmet Engin
authors.initials: ME
authors.lastname: Tezcan
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Oztürk
authors.forename: Ali Yusuf
authors.initials: AY
authors.lastname: Oner
authors.forename: Mehmet Derya
authors.initials: MD
authors.lastname: Demirağ
authors.forename: Tayfun
authors.initials: T
authors.lastname: Akalin
authors.forename: Arif
authors.initials: A
authors.lastname: Kaya
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D001025:Aortitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D013256:Steroids / Q000627:therapeutic use; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
chemical_list: D007166:Immunosuppressive Agents; D013256:Steroids; D008727:Methotrexate