عندما تفشل الكورتيكوستيرويدات وحدها في تمدد الأوعية الدموية الأبهري البطني الالتهابي ذي الخطر الجراحي العالي

References

DOI: 10.1016/j.ejvs.2023.01.003

Medical management based on the current literature is often considered in patients at high surgical risk, with a mantle sign suggesting peri-operative difficulties, or those below the threshold for repair with or without symptomatic aneurysms (pain, weight loss, or hydronephrosis).

Only Baskerville et al.18 published the results of five patients treated with corticosteroids alone (prednisone 50 mg twice daily for between 9 e 23 months), because of technical inoperability or the patients' unwillingness to undergo surgery.

Other immunosuppressive drugs (i.e., mycophenolate mofetil, azathioprine, cyclophosphamide, tocilizumab, and methotrexate)47 and anti-oestrogen treatment (tamoxifen)48 have been used alone or combined with steroids.