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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Stadlmaier, E; Spary, A; Tillich, M; Pilger, E.
Midaortic syndrome and celiac disease: a case of local vasculitis.
Clin Rheumatol. 2005; 24(3):301-304
Doi: 10.1007/s10067-004-1044-y
(- Case Report)
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Pilger Ernst
- Spary Andreas
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- Abstract:
- Midaortic syndrome is a variety of aortic coarctation, located in the distal thoracic aorta, the abdominal aorta or both, involving the intestinal and renal vessels, usually presenting with renovascular arterial hypertension. Underlying conditions are thought to be Takayasu's arteritis, von Recklinghausen's disease, and connate hypoplasia. Celiac disease is an inflammation in the small intestine, triggered by an allergic reaction to gluten. It is known to be associated with a variety of other autoimmune disorders, e.g., dermatitis herpetiformis (Duhring's disease), insulin-dependent diabetes mellitus, and IgA nephropathy. We describe the case of a young woman who presented with claudication of the lower limbs, therapy-refractory arterial hypertension, and untreated celiac disease. We found a midaortic syndrome, characterized by severe stenosis of the infrarenal aorta, of both renal arteries (more pronounced on the right side) and of the inferior mesenteric artery. We assume that-after having excluded other possible pathogeneses-the underlying condition is a local vasculitis in the abdominal aorta and the renal and mesenteric arteries due to the chronic inflammation of untreated celiac disease. We performed a percutaneous transluminal angioplasty together with implantation of two stents into the infrarenal aorta and the right renal artery and started treating the celiac disease by dietary intervention. The patient is now under regular medical control and observation.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Angiography -
- Angioplasty, Balloon -
- Aorta, Abdominal - radiography
- Aortic Coarctation - complications
- Autoantibodies - immunology
- Biopsy - immunology
- Blood Vessel Prosthesis Implantation - instrumentation
- Celiac Disease - complications
- Diagnosis, Differential - complications
- Duodenum - pathology
- Endoscopy, Gastrointestinal - pathology
- Female - pathology
- Follow-Up Studies - pathology
- Gliadin - immunology
- Humans - immunology
- Magnetic Resonance Angiography - immunology
- Positron-Emission Tomography - immunology
- Renal Artery - radiography
- Stents - radiography
- Syndrome - radiography
- Takayasu Arteritis - diagnosis
- Tomography, X-Ray Computed - diagnosis
- Transglutaminases - immunology
- Find related publications in this database (Keywords)
- arterial hypertension
- celiac disease
- midaortic syndrome
- percutaneous transluminal angioplasty
- stent implantation
- vasculitis