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 |
Monday, June 28, 2010
Angiographic Findings of the Vasculitides
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