Carotidynia is a syndrome characterized by tenderness of the carotid artery near the bifurcation due to numerous, heterogeneous causes. Here we reported the case of a 31-year-old Moroccan woman with right-sided neck pain and tenderness with irradiation to ipsilateral ear, eye, and occipital region. Clinical symptoms and imaging findings were suggestive of primary variant of carotidynia syndrome. In particular, color-Doppler ultrasonography revealed a concentric wall thickening of the distal common carotid artery, while thoracic magnetic resonance showed localized perivascular enhancement of the soft tissue in the right medial-distal common carotid artery in T1-weighted images, without intraluminal diameter variation. Moreover, careful clinicoserological and imaging investigations (cranial, cervical, and thoracic angiocomputed tomography and magnetic resonance) excluded well-known disorders potentially responsible for carotidynia syndrome. The patient was scarcely responsive to nonsteroidal anti-inflammatory drugs, but clinical symptoms resolved after three months. Of interest, the patient showed latent Mycobacterium tuberculosis infection (positive tuberculosis interferon-gamma release assay; QuantiFERON-TB Gold); this finding suggested a possible triggering role of mycobacterial antigens in the immune-mediated mechanism responsible for localized carotid injury.

Carotidynia Possibly due to Localized Vasculitis in a Patient with Latent Mycobacterium tuberculosis Infection / Cassone, Giulia; Colaci, Michele; Giuggioli, D; Manfredi, Andreina Teresa; Sebastiani, Marco; Ferri, Clodoveo. - In: CASE REPORTS IN VASCULAR MEDICINE. - ISSN 2090-6986. - ELETTRONICO. - 2013:(2013), pp. 585789-585789. [10.1155/2013/585789]

Carotidynia Possibly due to Localized Vasculitis in a Patient with Latent Mycobacterium tuberculosis Infection.

Cassone, Giulia;COLACI, Michele;Giuggioli D;MANFREDI, Andreina Teresa;SEBASTIANI, Marco;FERRI, Clodoveo
2013

Abstract

Carotidynia is a syndrome characterized by tenderness of the carotid artery near the bifurcation due to numerous, heterogeneous causes. Here we reported the case of a 31-year-old Moroccan woman with right-sided neck pain and tenderness with irradiation to ipsilateral ear, eye, and occipital region. Clinical symptoms and imaging findings were suggestive of primary variant of carotidynia syndrome. In particular, color-Doppler ultrasonography revealed a concentric wall thickening of the distal common carotid artery, while thoracic magnetic resonance showed localized perivascular enhancement of the soft tissue in the right medial-distal common carotid artery in T1-weighted images, without intraluminal diameter variation. Moreover, careful clinicoserological and imaging investigations (cranial, cervical, and thoracic angiocomputed tomography and magnetic resonance) excluded well-known disorders potentially responsible for carotidynia syndrome. The patient was scarcely responsive to nonsteroidal anti-inflammatory drugs, but clinical symptoms resolved after three months. Of interest, the patient showed latent Mycobacterium tuberculosis infection (positive tuberculosis interferon-gamma release assay; QuantiFERON-TB Gold); this finding suggested a possible triggering role of mycobacterial antigens in the immune-mediated mechanism responsible for localized carotid injury.
2013
585789
585789
Carotidynia Possibly due to Localized Vasculitis in a Patient with Latent Mycobacterium tuberculosis Infection / Cassone, Giulia; Colaci, Michele; Giuggioli, D; Manfredi, Andreina Teresa; Sebastiani, Marco; Ferri, Clodoveo. - In: CASE REPORTS IN VASCULAR MEDICINE. - ISSN 2090-6986. - ELETTRONICO. - 2013:(2013), pp. 585789-585789. [10.1155/2013/585789]
Cassone, Giulia; Colaci, Michele; Giuggioli, D; Manfredi, Andreina Teresa; Sebastiani, Marco; Ferri, Clodoveo
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/994918
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