A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia

Aortitis is a broad term describing inflammation of the aorta. The most common causes of aortitis are the large-vessel vasculitides giant cell arteritis and Takayasu arteritis. Other etiologies include aortitis associated with other autoimmune disorders, infectious causes, and paraneoplastic and idi...

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Main Authors: Sylwia Sasinowska, Pamela Traisak, Michael McCormack, Hala Eid
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2017/3091973
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author Sylwia Sasinowska
Pamela Traisak
Michael McCormack
Hala Eid
author_facet Sylwia Sasinowska
Pamela Traisak
Michael McCormack
Hala Eid
author_sort Sylwia Sasinowska
collection DOAJ
description Aortitis is a broad term describing inflammation of the aorta. The most common causes of aortitis are the large-vessel vasculitides giant cell arteritis and Takayasu arteritis. Other etiologies include aortitis associated with other autoimmune disorders, infectious causes, and paraneoplastic and idiopathic cases. We describe a rare case of a large-vessel arteritis occurring in association with chronic myelomonocytic leukemia (CMML). A 68-year-old female with recent diagnosis of CMML presented to our office for evaluation of abnormal chest computed tomography (CT) that showed inflammation surrounding the entirety of thoracic and abdominal aorta, consistent with aortitis. In the absence of other evident causes of large-vessel vasculitis, we attributed this finding to a paraneoplastic autoimmune phenomenon and started treatment with systemic glucocorticoids. This rare case emphasizes the need to recognize autoimmune complications in CMML and treat the inflammation along with the primary malignancy promptly.
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spelling doaj-art-beec314a387743c3a256875fb0f777372025-02-03T05:46:17ZengWileyCase Reports in Hematology2090-65602090-65792017-01-01201710.1155/2017/30919733091973A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic LeukemiaSylwia Sasinowska0Pamela Traisak1Michael McCormack2Hala Eid3Division of Rheumatology, Cooper University Hospital, Camden, NJ, USADivision of Rheumatology, Cooper University Hospital, Camden, NJ, USADivision of Hematology-Oncology, MD Anderson Cancer Center, Cooper University Hospital, Camden, NJ, USADivision of Rheumatology, Cooper University Hospital, Camden, NJ, USAAortitis is a broad term describing inflammation of the aorta. The most common causes of aortitis are the large-vessel vasculitides giant cell arteritis and Takayasu arteritis. Other etiologies include aortitis associated with other autoimmune disorders, infectious causes, and paraneoplastic and idiopathic cases. We describe a rare case of a large-vessel arteritis occurring in association with chronic myelomonocytic leukemia (CMML). A 68-year-old female with recent diagnosis of CMML presented to our office for evaluation of abnormal chest computed tomography (CT) that showed inflammation surrounding the entirety of thoracic and abdominal aorta, consistent with aortitis. In the absence of other evident causes of large-vessel vasculitis, we attributed this finding to a paraneoplastic autoimmune phenomenon and started treatment with systemic glucocorticoids. This rare case emphasizes the need to recognize autoimmune complications in CMML and treat the inflammation along with the primary malignancy promptly.http://dx.doi.org/10.1155/2017/3091973
spellingShingle Sylwia Sasinowska
Pamela Traisak
Michael McCormack
Hala Eid
A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia
Case Reports in Hematology
title A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia
title_full A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia
title_fullStr A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia
title_full_unstemmed A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia
title_short A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia
title_sort rare case of paraneoplastic aortitis associated with chronic myelomonocytic leukemia
url http://dx.doi.org/10.1155/2017/3091973
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