title: A case of ascending aortic dissection and rupture caused by giant cell arteritis.
abstract: Giant cell arteritis (GCA) is an autoimmune disease characterized by granulomatous inflammation in the wall of medium-sized and large-sized arteries, and it usually occurs in patients over 50 years of age.(1)) Symptoms are nonspecific, and include fatigue, fever, and headache.(2)) It is occasionally combined with aortic complications, and ruptures resulting in death. These complications occur as late events, usually several years after diagnosis and often after other symptoms have subsided.(3)) Physicians should therefore be alert for complications of the large arteries in GCA. Here we present a case of GCA combined with ascending aortic dissection and rupture 3 weeks after diagnosis.
authors.affiliation: Division of Cardiology, Shimane University Faculty of Medicine.
authors.forename: Misun
authors.initials: M
authors.lastname: Pak
authors.forename: Shimpei
authors.initials: S
authors.lastname: Ito
authors.forename: Masaki
authors.initials: M
authors.lastname: Takeda
authors.forename: Nobuhide
authors.initials: N
authors.lastname: Watanabe
authors.forename: Hirotomo
authors.initials: H
authors.lastname: Sato
authors.forename: Saki
authors.initials: S
authors.lastname: Ito
authors.forename: Tomoko
authors.initials: T
authors.lastname: Adachi
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugamori
authors.forename: Akihiro
authors.initials: A
authors.lastname: Endo
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Takahashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yoshitomi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ishibashi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Tanabe
mesh_terms: D000368:Aged; D001011:Aorta / Q000473:pathology; D001019:Aortic Rupture / Q000209:etiology*; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D013699:Temporal Arteries / Q000473:pathology