Abstract
Inflammatory arterial disease is often insidious and associated with a substantial morbidity and mortality. Early recognition is vital. Patients with arteritis (n = 106) were studied and divided into five groups. Two of these were subgroups of giant cell arteritis classified by site into either cranial arteritis (66), or upper limb arteritis (7). Three other groups were identified; chronic periaortitis (with or without inflammatory aortic aneurysm) (7), polyarteritis nodosa (14), and small vessel arteritis (12). Clinicians are not sufficiently aware of arteritis and its many atypical presentations. Delay in management is associated with a significant morbidity and mortality. In this district serving 200,000 people at least one patient per month is seriously at risk from the disease. Improved outlook depends on early recognition of the clinical syndromes and rapid appropriate treatment.
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- Ball R. Y., Bindman J. P., Carpenter K. L., Mitchinson M. J. Oxidized low density lipoprotein induces ceroid accumulation by murine peritoneal macrophages in vitro. Atherosclerosis. 1986 May;60(2):173–181. doi: 10.1016/0021-9150(86)90009-2. [DOI] [PubMed] [Google Scholar]
- Barrier J., Potel G., Renaut-Hovasse H., Hanh T. H., Peltier P., Chamary V., Grolleau J. Y. The use of Doppler flow studies in the diagnosis of giant cell arteritis. Selection of temporal artery biopsy site is facilitated. JAMA. 1982 Nov 5;248(17):2158–2159. [PubMed] [Google Scholar]
- Baskerville P. A., Blakeney C. G., Young A. E., Browse N. L. The diagnosis and treatment of peri-aortic fibrosis ('inflammatory' aneurysms). Br J Surg. 1983 Jun;70(6):381–385. doi: 10.1002/bjs.1800700623. [DOI] [PubMed] [Google Scholar]
- Biller J., Asconapé J., Weinblatt M. E., Toole J. F. Temporal arteritis associated with normal sedimentation rate. JAMA. 1982 Jan 22;247(4):486–487. [PubMed] [Google Scholar]
- Clyne C. A., Abercrombie G. F. Perianeurysmal retroperitoneal fibrosis: two cases responding to steroids. Br J Urol. 1977 Nov;49(6):463–467. doi: 10.1111/j.1464-410x.1977.tb04183.x. [DOI] [PubMed] [Google Scholar]
- Crawford J. L., Stowe C. L., Safi H. J., Hallman C. H., Crawford E. S. Inflammatory aneurysms of the aorta. J Vasc Surg. 1985 Jan;2(1):113–124. [PubMed] [Google Scholar]
- Drury J. K., Pollock J. G. Subclavian arteriopathy in the young patient. Br J Surg. 1981 Sep;68(9):617–620. doi: 10.1002/bjs.1800680906. [DOI] [PubMed] [Google Scholar]
- Fitzgerald E. J., Blackett R. L. 'Inflammatory' abdominal aortic aneurysms. Clin Radiol. 1988 May;39(3):247–251. doi: 10.1016/s0009-9260(88)80518-x. [DOI] [PubMed] [Google Scholar]
- Hunder G. G., Lie J. T. The vasculitides. Cardiovasc Clin. 1983;13(2):261–291. [PubMed] [Google Scholar]
- Joyce J. W. The giant cell arteritides: diagnosis and the role of surgery. J Vasc Surg. 1986 May;3(5):827–833. doi: 10.1067/mva.1986.avs0030827b. [DOI] [PubMed] [Google Scholar]
- McCarthy W. J., Flinn W. R., Yao J. S., Williams L. R., Bergan J. J. Result of bypass grafting for upper limb ischemia. J Vasc Surg. 1986 May;3(5):741–746. [PubMed] [Google Scholar]
- Mitchinson M. J. Chronic periaortitis and periarteritis. Histopathology. 1984 Jul;8(4):589–600. doi: 10.1111/j.1365-2559.1984.tb02371.x. [DOI] [PubMed] [Google Scholar]
- Mitchinson M. J. Retroperitoneal fibrosis revisited. Arch Pathol Lab Med. 1986 Sep;110(9):784–786. [PubMed] [Google Scholar]
- Parums D. V., Brown D. L., Mitchinson M. J. Serum antibodies to oxidized low-density lipoprotein and ceroid in chronic periaortitis. Arch Pathol Lab Med. 1990 Apr;114(4):383–387. [PubMed] [Google Scholar]
- Parums D., Mitchinson M. J. Demonstration of immunoglobulin in the neighbourhood of advanced atherosclerotic plaques. Atherosclerosis. 1981 Jan-Feb;38(1-2):211–216. doi: 10.1016/0021-9150(81)90118-0. [DOI] [PubMed] [Google Scholar]
- Rivers S. P., Baur G. M., Inahara T., Porter J. M. Arm ischemia secondary to giant cell arteritis. Am J Surg. 1982 May;143(5):554–558. doi: 10.1016/0002-9610(82)90160-x. [DOI] [PubMed] [Google Scholar]
- Stotter A. T., Grigg M. J., Mansfield A. O. The response of peri-aneurysmal fibrosis--the "inflammatory" aneurysm--to surgery and steroid therapy. Eur J Vasc Surg. 1990 Apr;4(2):201–205. doi: 10.1016/s0950-821x(05)80439-6. [DOI] [PubMed] [Google Scholar]