A Case of Abdominal Aortic Aneurysm Associated with Systemic Lupus Erythematosus

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Title ( eng )
A Case of Abdominal Aortic Aneurysm Associated with Systemic Lupus Erythematosus
Creator
Marubayashi Seiji
Sugi Keiji
Fukuma Kazuyuki
Okada Kazuro
Ikeda Masahiro
Haruta Haruki
Sugino Keizou
Asahara Toshimasa
Kawano Hironori
Dohi Kiyohiko
Source Title
Hiroshima Journal of Medical Sciences
Volume 47
Issue 2
Start Page 85
End Page 87
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
A case of abdominal aortic aneurysm associated with systemic lupus erythematosus (SLE) is reported. A 45-year-old woman with a 18-year history of SLE was admitted with severe lumbago radiating to the bilateral inguinal region. CT and DSA showed a dumbbell shaped true aneurysm of the abdominal aorta. An aorto-biiliac Y shaped graft replacement was performed. SLE is rarely associated with aneurysm of the great arteries. We could find only 4 reports of abdominal aneurysm associated with SLE. Common features were the young age of the patient, the long term of the systemic disease, and administration of corticosteroid therapy for a relatively long period of time. We speculate that atherosclerosis, hypertension, and corticosteroid may all work in concert, possibly together with aortic wall involvement or vasculitic damage, to produce the rare abdominal aneurysm in SLE.
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 1998-06
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312