title: [Large vessel vasculitis with myelodysplastic syndrome: A rare association].
abstract: BACKGROUND
  The vasculitis can be the consequence of malignancy: most often hematologic rather than solid tumors. The association between large vessels vasculitis and myelodysplastic syndrome is rare.
  
  
  METHODS
  A 55-year-old man experienced asthenia, fever, polyarthritis and inflammatory syndrome. Haematological investigations found a type 2 refractory anemia with excess blasts (RAEB-2) with discovery of severe anemia (Hb: 7,8g/dl) and thrombopenia (platelets: 40,000/mm3). Radiological examinations found thoracic aortitis and carotid vasculitis. Treatment in the form of steroids and azacitidine was instituted. The lack of control of both RAEB-2 and vasculitis was responsible for the death of the patient.
  
  
  CONCLUSIONS
  Myelodysplastic syndrome and large vessels vasculitis is a rare but serious association disease. The lack of efficiency of corticosteroids seems to be common. Prognosis depends on the haematological treatment effectiveness.
authors.affiliation: Service de médecine interne, hôpital Belle-Isle, hôpitaux privés de Metz, 2, rue Belle-Isle, 57000 Metz, France. Electronic address: joris.galland@miel-lorraine.fr.
authors.forename: J
authors.initials: J
authors.lastname: Galland
authors.affiliation: Service de médecine interne, hôpital Belle-Isle, hôpitaux privés de Metz, 2, rue Belle-Isle, 57000 Metz, France.
authors.forename: H
authors.initials: H
authors.lastname: Kawski
authors.affiliation: Service de médecine interne, hôpital Belle-Isle, hôpitaux privés de Metz, 2, rue Belle-Isle, 57000 Metz, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Guichard
authors.affiliation: Service de médecine interne, hôpital Belle-Isle, hôpitaux privés de Metz, 2, rue Belle-Isle, 57000 Metz, France.
authors.forename: F
authors.initials: F
authors.lastname: Maurier
mesh_terms: D017809:Fatal Outcome; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014657:Vasculitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
keywords: Artérite à cellules géantes; Large vessel vasculitis; Myelodysplastic syndrome; Syndrome myélodysplasique