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rheumatoid aortitis
Wednesday 29 June 2011
Aortitis as a feature of rheumatoid arthritis is considered rare.
Synopsis
aortitis involvement of the thoracic aorta, in most cases involvement of both the thoracic and abdominal aorta, possible aneurysmal dilatation of the thoracic aorta or the abdominal aorta
Microscopy
aortitis necrosis of medial smooth muscle and elastica inflammatory infiltrate comprising primarily lymphocytes and plasma cells panmural aortitis rheumatoid granulomas
Complications
congestive heart failure secondary to thoracic aortitis and aortic valvulitis rupture of an abdominal aortic aneurysm
References
Rheumatoid aortitis: a rarely recognized but clinically significant entity. Gravallese EM, Corson JM, Coblyn JS, Pinkus GS, Weinblatt ME. Medicine (Baltimore). 1989 Mar;68(2):95-106. PMID: #2921941#
