Isolated Aortitis Presenting with an Annoying Persistent Cough: A Case Report

  • Michele Maria Luchetti Clinica Medica, Dipartimento Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona
  • William Capeci Clinica Medica, Dipartimento Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona
  • Matteo Rossini Clinica Medica, Dipartimento Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona
  • Devis Benfaremo Clinica Medica, Dipartimento Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona
  • Armando Gabrielli Clinica Medica, Dipartimento Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Ancona

Keywords

Aortitis, chronic cough, rare diseases

Abstract

Objectives: To report a case of idiopathic aortitis presenting with chronic cough.

Materials and Methods: the Authors describe the case of a 72-year-old man with dry cough, worsening fatigue, weight loss and elevated systemic inflammatory markers.

Results: A PET-CT scan showed diffuse thickening of the thoracic aorta and confirmed the diagnosis of aortitis. Systemic corticosteroid therapy was initiated and complete remission was achieved in six months.

Conclusion: Persistent dry cough of unknown origin, especially when associated with systemic inflammation, demands a thorough differential diagnosis and should not be underrated.

References

  • Gornik HL, Creager MA. Aortitis. Circulation 2008;117:3039–51.

  • Rojo-Leyva F, Ratliff NB, Cosgrove DM 3rd, Hoffman GS. Study of 52 patients with idiopathic aortitis from a cohort of 1,204 surgical cases. Arthritis Rheum 2000;43:901–907.

  • Van der Schueren B, Lambert M. Cough as the presenting symptom of large vessel vasculitis. Clin Rheumatol 2005;24:411–4.

  • Simpson CB, Amin MR. Chronic Cough: State-of-the-Art Review. Otolaryngol Head Neck Surg 2006;134:693–700.

  • Muto G, Yamashita H, Takahashi Y, Miyata Y, Morooka M, Minamimoto R et al. Large vessel vasculitis in elderly patients: early diagnosis and steroid-response evaluation with FDG-PET/CT and contrast enhanced CT. Rheumatol Int 2014;34:1545–54.

  • Mukhtyar C, Guillevin L, Cid MC, B Dasgupta, K de Groot, W Gross et al. EULAR recommendations for the management of large vessel vasculitis. Ann Rheum Dis 2009;68:318–323.
  • Published: 2016-02-18

    Issue: Vol 3 No 2 (view)

    Section: Articles

    How to cite:
    Luchetti, M., Capeci, W., Rossini, M., Benfaremo, D., & Gabrielli, A. (2016). Isolated Aortitis Presenting with an Annoying Persistent Cough: A Case Report. European Journal of Case Reports in Internal Medicine, 3(2). https://doi.org/https://doi.org/10.12890/2016_000360