Vasculitis |
Vessels |
Angiography/CT |
Clinical |
Takayasu |
Thoracic and abdominal aorta and proximal branch vessels, pulmonary and coronary arteries |
Long-segment smooth stenoses of the aorta & common carotid & subclavian arteries. Stenoses of the pulmonary and coronary arteries. Aortic aneurysm. Thick, enhancing wall on CT/MR. |
Young Asian woman |
Polyarteritis Nodosa |
Medium and small arteries of visceral organs, heart, and hands and feet. |
Multiple small aneurysms of renal or visceral arteries, and digital artery occlusions. |
Hep B, C, IVDA |
Giant Cell |
Distal subclavian, axillary, brachial, carotid branches, aorta. |
Long irregular stenoses and occlusions. |
Elderly woman with several weeks of fever, headache, tender temporal arteries, elevated ESR. Ophthalmic artery involvement is feared complication. |
Buerger |
Veins and medium and small arteries of extremities |
Occlusion of small and medium vessels. Arterial and venous thrombosis |
Male smoker younger than 50. Migratory thrombophlebitis |
Behçet |
Veins, pulmonary arteries, medium and large arteries. |
Arterial and venous (more common) thrombosis. Aneurysms of aorta, pulmonary arteries, and peripheral vessels. |
Recurrent oral and genital apthous ulcers. |
Kawasaki |
Medium and small arteries |
Aneurysms of the coronary and medium-sized arteries |
Infant younger than 1 |
SLE |
Usually upper extremity medium and small arteries |
Tapered stenoses on occlusions, especially of the digital arteries. |
Digital ischemia and ulceration in a young woman with SLE. |
RA, HLA-B27s |
Thoracic aorta. |
Aortic root dilatation |
|
The patient shown here has inflammatory changes surrounding his right distal subclavian/axillary artery, consistent with giant cell arteritis.
References
Vascular and Interventional Radiology: The Requisites. 2004.
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