Abdominal pain may dominate the scene of idiopathic aortitis.
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.
Tezcan
Mehmet Engin
ME
Rheumatology Section, Department of Internal Medicine, Faculty of Medicine, Gazi University, 06500, Beşevler, Ankara, Turkey. engintez@yahoo.com
Oztürk
Mehmet Akif
MA
Oner
Ali Yusuf
AY
Demirağ
Mehmet Derya
MD
Akalin
Tayfun
T
Kaya
Arif
A
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
D007166:Immunosuppressive Agents; D013256:Steroids; D008727:Methotrexate