ДИАГНОСТИКА АОРТИТОВ

Abstract

Inflammatory diseases of aorta are associated with such serious complica-tions as dissecting aneurysm, rupture of the aortic wall and thromboembolism, which determine the importance of the early detection of this pathology. The complexity of a timely diagnosis of aortitis can be justified by the absence of pathognomonic clinical symptoms or the development of the disease as a part of a systemic disorder, the non-specificity of changes in standard laboratory tests and the unavailability of the routine morphological examination of the aorta. Differential diagnosis of infectious and non-infectious aortitis is very important, because it influences the effectiveness of treatment. Early recogni-tion of the pathology has become possible due to the accessibility of the specif-ic markers of the systemic diseases, laboratory tests to detect infections and modern instrumental methods of visualization of the aortic lesions. The article presents the causes of infectious and non-infectious aortitis, characteristic of clinically isolated aortitis and periaortitis, and morphological patterns of aorti-tis according to the structure of the inflammatory infiltrate. The authors re-viewed both laboratory tests and methods of instrumental diagnostics that provide significant assistance in identification of the disease aa well as diagnos-tic algorithm of aortitis.