Beyond Giant Cell Arteritis and Takayasu's Arteritis: Secondary Large Vessel Vasculitis and Vasculitis Mimickers

被引:12
作者
Berti, Alvise [1 ,2 ,3 ]
Moura, Marta Casal [3 ]
Sechi, Elia [4 ]
Squizzato, Francesco [5 ]
Costanzo, Giulia [6 ]
Chen, John J. [7 ]
Warrington, Kenneth J. [8 ]
机构
[1] Univ Trento, Dept Rheumatol, Santa Chiara Reg Hosp, Largo Madaglie D'Oro 9, I-38121 Trento, Italy
[2] Univ Trento, Dept Cellular Computat & Integrat Biol CIBIO, Largo Madaglie D'Oro 9, I-38121 Trento, Italy
[3] Mayo Clin, Thorac Dis Res Unit, Pulm & Crit Care, Rochester, MN USA
[4] Univ Verona, Neurosci Biomed & Movement Sci, Verona, Italy
[5] Mayo Clin, Vasc Surg, Rochester, MN USA
[6] Univ Cagliari, Allergy & Clin Immunol, Cagliari, Italy
[7] Mayo Clin, Ophthalmol & Neurol, Rochester, MN USA
[8] Mayo Clin, Rheumatol, Rochester, MN USA
关键词
Large vessel vasculitis; LVV; Takayasu arteritis; Giant cell arteritis; Horton’ s arteritis; GCA; Vasculitis mimickers; Ischemia; Aneurysm; Stroke; Fever of unknown origin; IgG4-related diseases; Aortitis; ERDHEIM-CHESTER DISEASE; RHEUMATOLOGY; 1990; CRITERIA; ISCHEMIC OPTIC NEUROPATHY; COLOR-CODED SONOGRAPHY; TEMPORAL ARTERITIS; SYPHILITIC AORTITIS; MAGNETIC-RESONANCE; CLINICAL-FEATURES; ABDOMINAL-AORTA; UNKNOWN ORIGIN;
D O I
10.1007/s11926-020-00965-w
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review To provide an overview of mimickers of large vessel vasculitis (LVV), by the main presenting manifestation, i.e., systemic, vascular, and cranial manifestations. Recent Findings The main differential diagnoses in patients with giant cell arteritis (GCA) and Takayasu arteritis (TAK) presenting with systemic manifestations (i.e., fever, anorexia, weight loss, night sweats, arthralgia/myalgia, and/or increased inflammatory indexes) are neoplastic, infectious, or other inflammatory conditions. In patients with vascular manifestations (such as peripheral ischemia, vascular stenoses, or aneurysms), atherosclerosis and non-inflammatory vascular diseases should be excluded. In those presenting with predominant cranial symptoms (i.e., temporal headache, jaw claudication, scalp tenderness, transient or permanent vision loss), other causes of headache, cerebrovascular accidents, optic neuropathy, and neuromuscular syndromes need to be considered. The diagnosis of LVV maybe challenging, especially when patients present with atypical or incomplete clinical forms. In these cases, a multidisciplinary approach is strongly recommended.
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页数:14
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