Luetic aneurysm
Updates to Synonym Attributes
Updates to Synonym Attributes
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TheA Lueticluetic aneurysm ( also(also called a syphilitic aneurysmsaneurysm) areis a type of aneurym occurring usually secondary to syphilitic aortitis.
Epidemiology
Pending
Pathology
The responsible organism is a spirochete Treponema pallidum and Ascending aorta is mostly involved.
Syphlitic aortitis takes place during the stage of tertiary syphilis between 5 to 30 years after initiation of primary syphilis. This is normally due to infection of aorta secondary to endarteritis obliterans of vasa-vasarum.
Aortic wall becomes progressively weakened due to chronic inflammation. This will subsequently lead to aneurysm (10%), coronary artery Narrowing at ostium (30%) and aortic valve insufficiency secondry to the involvement of aortic valve.
Clinical presentation
Pending
Radiographic features
Angiography
The findings areFindings include :
-
Saccularaccular asymmetric aortic aneurysm -
Aorticaortic root branches involvement
We can not accurately measure aneurysm by using angiography. This is normally due to intra-aneurysmal/ mural thrombosis and calcification, layering of the contrast and magnification.,
CT scan
The findings of CT may include :
-
Extensiveextensive thickening of aortic wall with peri-aortic inflammation. -
Asymmetricalasymmetrical aortic sinus involvement. -
Saccularsaccular aneurysms and heavily calcified ascending aorta. -
Treetree bark intimal calcifications due to intimal wrinkling.
MRI
Pending
Treatment
High dose antibiotic and resection of enlarging aneurysm.
Differential diagnosis
Pending
EtymologyHistoty and etymology
The term "Lues" is an old name for syphilis, derived from Latin lues for "filth".
-<p>The<strong> Luetic aneurysm</strong> ( also called <strong>syphilitic aneurysms</strong> ) are usually secondary to <a href="/articles/syphilitic-aortitis">syphilitic aortitis</a>. </p><h4>Epidemiology</h4><p>Pending</p><h4>Pathology</h4><p>The responsible organism is a spirochete <a href="/articles/treponema-pallidum">Treponema pallidum</a> and Ascending aorta is mostly involved.</p><p>Syphlitic aortitis takes place during the stage of tertiary syphilis between 5 to 30 years after initiation of <a href="/articles/primary-syphilis">primary syphilis</a>. This is normally due to infection of aorta secondary to <a href="/articles/endarteritis-obliterans">endarteritis obliterans</a> of <a href="/articles/vasa-vasarum">vasa-vasarum</a>.</p><p>Aortic wall becomes progressively weakened due to chronic inflammation. This will subsequently lead to aneurysm (10%), coronary artery Narrowing at ostium (30%) and aortic valve insufficiency secondry to the involvement of aortic valve.</p><h4>Clinical presentation</h4><p>Pending</p><h4><strong>Radiographic features</strong></h4><h5>Angiography</h5><p>The findings are :</p><ul>-<li>Saccular asymmetric aortic aneurysm</li>-<li>Aortic root branches involvement</li>-</ul><p>We can not accurately measure aneurysm by using angiography. This is normally due to intra-aneurysmal/ mural thrombosis and calcification, layering of the contrast and magnification.,</p><h5>CT scan</h5><p>The findings of CT may include :</p><ul>-<li>Extensive thickening of aortic wall with peri-aortic inflammation.</li>-<li>Asymmetrical aortic sinus involvement.</li>-<li>Saccular aneurysms and heavily calcified ascending aorta.</li>-<li>Tree bark intimal calcifications due to intimal wrinkling.</li>-</ul><h5>MRI</h5><p>Pending</p><h4>Treatment</h4><p>High dose antibiotic and resection of enlarging aneurysm.</p><h4>Differential diagnosis</h4><p>Pending</p><h4>Etymology</h4><p>Lues is an old name for syphilis, derived from Latin <em>lues</em> for "filth".</p>- +<p>A<strong> luetic aneurysm</strong> (also called a <strong>syphilitic aneurysm</strong>) is a type of aneurym occurring usually secondary to <a href="/articles/syphilitic-aortitis">syphilitic aortitis</a>. </p><h4>Epidemiology</h4><p>Pending</p><h4>Pathology</h4><p>The responsible organism is a spirochete <a href="/articles/treponema-pallidum">Treponema pallidum</a> and Ascending aorta is mostly involved.</p><p>Syphlitic aortitis takes place during the stage of tertiary syphilis between 5 to 30 years after initiation of <a href="/articles/primary-syphilis">primary syphilis</a>. This is normally due to infection of aorta secondary to <a href="/articles/endarteritis-obliterans">endarteritis obliterans</a> of <a href="/articles/vasa-vasarum">vasa-vasarum</a>.</p><p>Aortic wall becomes progressively weakened due to chronic inflammation. This will subsequently lead to aneurysm (10%), coronary artery Narrowing at ostium (30%) and aortic valve insufficiency secondry to the involvement of aortic valve.</p><h4>Clinical presentation</h4><p>Pending</p><h4>Radiographic features</h4><h5>Angiography</h5><p>Findings include :</p><ul>
- +<li>accular asymmetric aortic aneurysm</li>
- +<li>aortic root branches involvement</li>
- +</ul><p>We can not accurately measure aneurysm by using angiography. This is normally due to intra-aneurysmal/ mural thrombosis and calcification, layering of the contrast and magnification.,</p><h5>CT</h5><p>The findings of CT may include :</p><ul>
- +<li>extensive thickening of aortic wall with peri-aortic inflammation.</li>
- +<li>asymmetrical aortic sinus involvement.</li>
- +<li>saccular aneurysms and heavily calcified ascending aorta.</li>
- +<li>tree bark intimal calcifications due to intimal wrinkling.</li>
- +</ul><h5>MRI</h5><p>Pending</p><h4>Treatment</h4><p>High dose antibiotic and resection of enlarging aneurysm.</p><h4>Differential diagnosis</h4><p>Pending</p><h4>Histoty and etymology</h4><p>The term "<strong>Lues</strong>" is an old name for syphilis, derived from Latin <em>lues</em> for "filth".</p>
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