Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2019; 16 (2): 81-160 ➤ Вопросы диагностики неспецифического аортоартериита

Questions of diagnosis of nonspecific aortoarteritis

Authors: V.V. Zadneprovskaya 1, A.V. Sushkova 2

Company:
1 Postgraduate Institute for Public Health Workers, Ministry of Health of the Khabarovsk Territory, ul. Krasnodarskaya, 9, Khabarovsk, 680009, Russian Federation
2 Vanino Hospital, Far Eastern District Medical Center, FMBA of Russia, poselok Vanino, ul. Oktyabr'skaya, 25 A, Khabarovsk Territory, 682860, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2019-16-2-140-147

UDC: 616.13-002-07

Link: Clinical Physiology of Blood Circulaiton. 2019; 16 (2): 140-147

Quote as: Zadneprovskaya V.V., Sushkova A.V. Questions of diagnosis of nonspecific aortoarteritis. Clinical Physiology of Circulation. 2019; 16 (2): 140–7 (in Russ.). DOI: 10.24022/1814-6910-2019-16-2-140-147

Keywords:  Takayasu disease obliterating aortoarteritis occlusion thrombosis ultrasound angioscanning stenosis of the aorta and its branches cerebral ischemia ischemia of the upper and lower extremities inflammatory reaction collateral type of blood flow

Received / Accepted:  April 4, 2019 / April 22, 2019

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Abstract

The increase of the frequency of detection of nonspecific aortoarteritis (NAA) in recent years is due not only to the improved diagnosis, but also to the increase in cases of NAA. The described clinical case of late diagnosis of NAA in a young patient demonstrates that in the initial stages of its development, NAA has erased, many-faced picture that does not allow to make the correct diagnosis, thereby pushing the beginning of adequate, specific treatment. Even with the existing criteria of the disease systematized in the groups, between the first signs of the disease and the diagnosis can take from 1 month to 10 years, which leads to disability of patients and it is one of the urgent problems of rheumatology and vascular surgery. To another reason for the late diagnosis of NAA can be attributed an increase in “paper” work at the reception, a significant reduction in the time of the doctor for a more thorough anamnesis collection, examination of patients within the “necessary minimum”, the lack of the ability to analyze the available data of clinical and laboratory studies, combined with a large flow of patients. All of this, unfortunately, leads to errors in the diagnosis of quite rare pathologies, to which can be attributed the nonspecific aortoarteritis.

References

  1. Мельник М.В., Шилов А.М., Уваровская Б.В., Меньшикова И.В., Пак Ю.В. К вопросу ранней диагностики болезни Такаясу (описание клинического случая). Анестезиология и реаниматология. 2014; 59 (6): 52–6. [Mel'nik M.V., Shilov A.M., Uvarovskaya B.V., Men'shikova I.V., Pak Yu.V. To the question of early diagnosis of Takayasu disease (description of the clinical case). Anesteziologiya i Reanimatologiya (Anesthesiology and Intensive Care). 2014; 59 (6): 52–6 (in Russ.)]

  2. Pokrovsky A., Tsyreshkin D. Nonspecific aorto-arteritis. J. Cardiovasc. Surg. 1975; 16 (2): 181–91. DOI: 10.1007/978-3-642-68172-1_32

  3. Enomoto S., Miyamoto T., Shimada I., Shiiya N., Sakuma M. Surgical therapy of aortic regurgitation due to aortitis syndrome – effectiveness and extended indications of Bentall operation. Nippon Kyobu Geka G. Z. 1992; 7: 73. DOI: 10.1007/BF01618377

  4. 4. Johnston S.L., Lock R.J., Gompels M.M. Takayasu arteritis: a review. J. Clin. Pathol. 2002; 55 (7): 481–6. DOI: 10.1007/BF02936534

  5. Клиппел Дж.Х., Стоун Дж.Х., Кроффорд Л.Дж., Уайт П.Х. (ред.). Ревматические заболевания. Руководство. В 3-х т. Т. 3. Заболевания мягких тканей. М.: ГЭОТАР-Медиа; 2011. 6. Ревматология. Национальное руководство. М.: ГЭОТАР-Медиа; 2008: 567–73. [Klippel J.H., Stoun J.H., Krofford L.J., Wite P.Kh. (Eds) The rheumatic diseases. Vol. 3: Soft tissue diseases. Moscow: GEOTAR-Media; 2011 (in Russ.)]

  6. Ратнер Н.А., Вихерт А.М., Абугова С.П. Вопросы патогенеза, клиники и лечения панартериита аорты и ее ветвей. Coret Vasa. 1975; 3: 177–87. [Ratner N.A., Vikhert A.M., Abugova S.P. Questions of pathogenesis, clinic and treatment of panarteritis of the aorta and its branches. Coret Vasa. 1975; 3: 177–87 (in Russ.)]

  7. Аl-Dalaan A., Al Sheikh A., Bahabri S., El-Ramani K. The clinical spectrum of Takayasus arteritis. Clin. Rheumatol. 1994; 13 (2): 140–6.

  8. Покровский А.В., Рапопорт Я.Л., Работников В.С., Зингерман Л.С. Аортиты (клиника и хирургическое лечение). В кн.: Тезисы ХI сессии Института сердечно-сосудистой хирургии. М.: 1967: 64–5. [Pokrovskiy A.V., Rapoport Ya.L., Rabotnikov V.S., Zingerman L.S. Aortitis (clinic and surgical treatment). In: Theses of the XI session of the Institute of Cardiovascular Surgery. Moscow; 1967: 64–5 (in Russ.)]

  9. Зотиков А.Е., Ивандаев А.С., Гонтаренко В.Н., Кожанова А.В., Тимина И.Е., Кульбак В.А. Поэтапное хирургическое лечение больной неспецифическим аортоартериитом с двухсторонней окклюзией сонных артерий. Ангиология и сосудистая хирургия. 2018; 24 (1): 171–4. [Zotikov A.E., Ivandaev A.S., Gontarenko V.N., Kozhanova A.V., Timina I.E., Kul'bak V.A. Staged surgical treatment of a woman with nonspecific aortoarteritis and bilateral occlusion of carotid arteries. Angiologiya i Sosudistaya Khirurgiya (Angiology and Vascular Surgery). 2018; 24 (1): 171–4 (in Russ.)]

  10. Покровский А.В., Зотиков А.Е., Кульбак Е.А., Бурцева Е.А. Неспецифический аортоартериит. Современная диагностика и лечение. Альманах Института хирургии им. А.В. Вишневского. 2010; 10 (4): 56–69. [Pokrovskiy A.V., Zotikov A.E., Kul'bak E.A., Burtseva E.A. Nonspecific aortoarteritis. Modern diagnostics and treatment. Al'manakh Instituta Khirurgii imeni A.V. Vishnevskogo (Almanac of the A.V. Vishnevsky Institute of Surgery). 2010; 10 (4): 56–69 (in Russ.).]

  11. Балахонова Т.В., Погорелова О.А., Трипотень М.И., Герасимова В.В., Сафиулина А.А., Рогоза А.Н. Контрастное усиление при ультразвуковом исследовании сосудов: атеросклероз, неспецифический аортоартериит. Ультразвуковая и функциональная диагностика. 2015; 4: 33–46. [Balakhonova T.V., Pogorelova O.A., Tripoten' M.I., Gerasimova V.V., Safiulina A.A., Rogoza A.N. Contrastenhanced ultrasound in vascular medicine: atherosclerosis, Takayasu arteritis. Ul'trazvukovaya i Funktsional'naya Diagnostika (Ultrasound and Functional Diagnostics). 2015; 4: 33–46 (in Russ.)]

About Authors

  • Vera V. Zadneprovskaya, Cand. Med. Sc., Associate Professor of Radiology Chair; orcid.org/0000-0002-7172-8096

  • Anna V. Sushkova, Cardiologist, Ultrasound Diagnostic Specialist


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