Aortic aneurysms in systemic lupus erythematosus: a meta-analysis of 35 cases in the literature and two different pathogeneses

Kurata, Atsushi; Kawakami, Tomohiro; Sato, Junichiro; Sakamoto, Atsuhiko; Muramatsu, Tsukasa; Nakabayashi, Kimimasa

doi:10.1016/j.carpath.2010.01.003

Cited by 50 publications

(46 citation statements)

References 33 publications

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“…Most cases of lupus-associated aortitis have been described in conjunction with aortic aneurysms or aortic dissection. Histologic features have only been reported in a few cases [47,50,54,[75][76][77][78][79]. In lupus aortitis, the inflammatory infiltrate is typically either lymphocytic or lymphoplasmacytic, and not usually granulomatous.…”

Section: Systemic Lupus Erythematosusmentioning

confidence: 98%

Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for European Cardiovascular Pathology: I. Inflammatory diseases

Stone¹,

Bruneval²,

Angelini³

et al. 2015

Cardiovascular Pathology

278

232

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Inflammatory diseases of the aorta include routine atherosclerosis, aortitis, periaortitis, and atherosclerosis with excessive inflammatory responses, such as inflammatory atherosclerotic aneurysms. The nomenclature and histologic features of these disorders are reviewed and discussed. In addition, diagnostic criteria are provided to distinguish between these disorders in surgical pathology specimens. An initial classification scheme is provided for aortitis and periaortitis based on the pattern of the inflammatory infiltrate: granulomatous/giant cell pattern, lymphoplasmacytic pattern, mixed inflammatory pattern, and the suppurative pattern. These inflammatory patterns are discussed in relation to specific systemic diseases including giant cell arteritis, Takayasu arteritis, granulomatosis with polyangiitis (Wegener's), rheumatoid arthritis, sarcoidosis, ankylosing spondylitis, Cogan syndrome, Behçet's disease, relapsing polychondritis, syphilitic aortitis, and bacterial and fungal infections.

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Section: Systemic Lupus Erythematosusmentioning

confidence: 98%

Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for European Cardiovascular Pathology: I. Inflammatory diseases

Stone¹,

Bruneval²,

Angelini³

et al. 2015

Cardiovascular Pathology

278

232

View full text Add to dashboard Cite

show abstract

“…In fact, Kurata et al reports only 9 cases with thoracic and abdominal lesions with no mentions of saccular aneurysms. As Kurata et al 12 points out in his report, the pathogenesis of aortic aneurysm formation in SLE remains obscure. He suggests 2 pathways for aneurysm development, with nonatherosclerotic thoracic aneurysm probably because of vasculitis and atherosclerotic abdominal aneurysm formation associated with long-term steroid use.…”

Section: Discussionmentioning

confidence: 95%

“…Ohara et al 10 in 2000 describe 16 cases of aortic aneurysm associated with SLE but only one case of pseudoaneurysm. 11 A recent meta-analysis in 2011 by Kurata et al 12 found a total of 35 aortic aneurysms including dissection in SLE patients, over the 40-year period.…”

Section: Discussionmentioning

confidence: 98%

Saccular Thoracoabdominal Aneurysms in Systemic Lupus Erythematosus

Dessertenne¹,

Canaud²,

Marty-Ané³

et al. 2015

Annals of Vascular Surgery

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“…El compromiso cardiovascular en el LES, además del riesgo de ateromatosis, está dado principalmente por pericarditis, endocarditis, miocarditis y vasculitis de pequeño vaso 6 . La aortitis es una manifestación muy infrecuente con aproximadamente 40 casos descritos en la literatura, la mayoría diagnosticados en relación a estudio anatomopatológico de aneurismas [7][8][9][10][11] . Se sugieren 2 mecanismos patogénicos, uno relacionado a la ateromatosis agravada por corticoides y el segundo por degeneración quística de la media secundaria a vasculitis.…”

Section: Discussionunclassified