Acute Aortic Syndrome and Rheumatoid Arthritis

Iribarren-Marín, María Alcázar; Carnerero-Herrera, Victoria; Domínguez-Pérez, Ángel Daniel; González-Martín, Raquel

doi:10.1016/j.rec.2010.09.007

Cited by 2 publications

(2 citation statements)

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“…However, we cannot exclude a causal link between the AD and RA. We found a case report in the literature stating that AD may be related to RA through the phenomenon of vasa vasorum ischemia [17]. The ischemic neuropathy in our second patient could be attributed to the occlusion of the brachiocephalic trunk and subclavian artery, these arteries being involved in AD.…”

Section: Discussionmentioning

confidence: 60%

“…The second patient was found to have transient right arm paralysis that was relieved in 5 minutes with no pain or paresthesia, but with pulse deficit in the right brachial and radial arteries. There is evidence that up to 85% cases of RA show clinical manifestations of neuropathy: mononeuritis multiplex, sensorimotor neuropathy, and entrapment neuropathy attributed to drug toxicity, amyloidosis, an autoimmune mechanism [16], or necrotizing vasculitis of the vasa vasorum [17]. On the other hand, cardiac disease (ischemic heart disease, cardiomyopathy, pericarditis, vasculitis of coronary artery, arrhythmia, and valve diseases) is a well-recognized complication in RA patients [18].…”

Section: Discussionmentioning

confidence: 99%

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Aortic Dissection: An Easily Missed Diagnosis when Pain Doesn’t Hold the Stage

et al. 2019

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Case seriesPatients: Male, 73-year-old • Female, 70-year-oldFinal Diagnosis: Aortic dissectionSymptoms: ParesisMedication: —Clinical Procedure: —Specialty: NeurologyObjective:Challenging differential diagnosisBackground:Type A aortic dissection (AD) is a rare disease, with a high mortality rate. Its most common symptom is thoracic pain, which is nevertheless absent in about 6% of cases. Neurologic complications are extremely rare and include ischemic stroke and ischemic neuropathy (which are the most common as presenting symptoms), spinal cord ischemia, and hypoxic encephalopathy. These rare neurological presentations can often be missed at initial clinical examination.Case Report:We report 2 cases of patients presenting with seemingly mild neurological symptoms. However, diagnostic tests revealed acute type A AD, and further steps were taken.Conclusions:Although it is a rare cause of transient stroke or peripheral nerve ischemia, AD should be quickly recognized as a potential cause of new-onset neurological manifestations.

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Section: Discussionmentioning

confidence: 60%