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J R Soc Med. 1993 May; 86(5): 267–270.
PMCID: PMC1294002

The diagnosis and management of arteritis.

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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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Joyce JW. The giant cell arteritides: diagnosis and the role of surgery. J Vasc Surg. 1986 May;3(5):827–833. [PubMed]
  • Rivers SP, Baur GM, Inahara T, Porter JM. Arm ischemia secondary to giant cell arteritis. Am J Surg. 1982 May;143(5):554–558. [PubMed]
  • Biller J, Asconapé J, Weinblatt ME, Toole JF. Temporal arteritis associated with normal sedimentation rate. JAMA. 1982 Jan 22;247(4):486–487. [PubMed]
  • Hunder GG, Lie JT. The vasculitides. Cardiovasc Clin. 1983;13(2):261–291. [PubMed]
  • McCarthy WJ, Flinn WR, Yao JS, Williams LR, Bergan JJ. Result of bypass grafting for upper limb ischemia. J Vasc Surg. 1986 May;3(5):741–746. [PubMed]
  • Mitchinson MJ. Chronic periaortitis and periarteritis. Histopathology. 1984 Jul;8(4):589–600. [PubMed]
  • Barrier J, Potel G, Renaut-Hovasse H, Hanh TH, Peltier P, Chamary V, Grolleau JY. 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]
  • Drury JK, Pollock JG. Subclavian arteriopathy in the young patient. Br J Surg. 1981 Sep;68(9):617–620. [PubMed]
  • Mitchinson MJ. Retroperitoneal fibrosis revisited. Arch Pathol Lab Med. 1986 Sep;110(9):784–786. [PubMed]
  • Clyne CA, Abercrombie GF. Perianeurysmal retroperitoneal fibrosis: two cases responding to steroids. Br J Urol. 1977 Nov;49(6):463–467. [PubMed]
  • Baskerville PA, Blakeney CG, Young AE, Browse NL. The diagnosis and treatment of peri-aortic fibrosis ('inflammatory' aneurysms). Br J Surg. 1983 Jun;70(6):381–385. [PubMed]
  • Ball RY, Bindman JP, Carpenter KL, Mitchinson MJ. Oxidized low density lipoprotein induces ceroid accumulation by murine peritoneal macrophages in vitro. Atherosclerosis. 1986 May;60(2):173–181. [PubMed]
  • Crawford JL, Stowe CL, Safi HJ, Hallman CH, Crawford ES. Inflammatory aneurysms of the aorta. J Vasc Surg. 1985 Jan;2(1):113–124. [PubMed]
  • Stotter AT, Grigg MJ, Mansfield AO. The response of peri-aneurysmal fibrosis--the "inflammatory" aneurysm--to surgery and steroid therapy. Eur J Vasc Surg. 1990 Apr;4(2):201–205. [PubMed]
  • Parums D, Mitchinson MJ. Demonstration of immunoglobulin in the neighbourhood of advanced atherosclerotic plaques. Atherosclerosis. 1981 Jan-Feb;38(1-2):211–216. [PubMed]
  • Parums DV, Brown DL, Mitchinson MJ. Serum antibodies to oxidized low-density lipoprotein and ceroid in chronic periaortitis. Arch Pathol Lab Med. 1990 Apr;114(4):383–387. [PubMed]
  • Fitzgerald EJ, Blackett RL. 'Inflammatory' abdominal aortic aneurysms. Clin Radiol. 1988 May;39(3):247–251. [PubMed]

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