Aortic aneurysm and dissection are not associated with an increased risk for giant cell arteritis/polymyalgia rheumatica

Citation
M. Ehrenfeld et al., Aortic aneurysm and dissection are not associated with an increased risk for giant cell arteritis/polymyalgia rheumatica, POSTG MED J, 76(897), 2000, pp. 409-411
Citations number
19
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
POSTGRADUATE MEDICAL JOURNAL
ISSN journal
0032-5473 → ACNP
Volume
76
Issue
897
Year of publication
2000
Pages
409 - 411
Database
ISI
SICI code
0032-5473(200007)76:897<409:AAADAN>2.0.ZU;2-#
Abstract
It has recently been claimed that giant cell arteritis (GCA) is associated with a markedly increased risk of aortic aneurysm formation or rupture. In the present study, the opposite approach was taken, by looking for the inci dence of GCA and polymyalgia rheumatica (PMR) in patients with aortic aneur ysm, aortic dissection, or both (AA/D). The records of 315 consecutive pati ents admitted with the diagnosis of AA/D were reviewed. In addition, follow up information was obtained in 82 patients by examination in the outpatien t clinic. After careful examination and assessment of clinical and laborato ry data, it was found that none of the 82 patients who survived hospitalisa tion and were available for examination had GCA or PMR. Moreover, review of the retrospective data available from hospital records of the total consec utive 315 patients with AA/D failed to find any patient with a diagnosis of GCA/PMR. In conclusion, the present study did not find an increased preval ence of GCA/PMR among a cohort of Israeli patients with AA/D. Therefore, it is suggested that a thorough investigation aiming to diagnose GCA/PMR is n ot cost effective in most of the elderly patients presenting with AA/D.