International Journal of STD & AIDS > Volume 19, Number 2 > Pp. 141-142

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CASE REPORTS

Successful reversal of threatening carotid artery occlusion in HIV-associated non-aneurysmal vasculitis

C L Taylor MRCP DTM&H ^* , A Varma MD FRCP , A Herwadkar FRCP  and A Bonington MD FRCP ^*

^* Monsall Unit, Department of Infectious Diseases and Tropical Medicine; Department of Neurology; Department of Neuroradiology, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK

Correspondence to: Dr Clare L Taylor, Monsall Unit, Department of Infectious Diseases and Tropical Medicine, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK Email: claretaylor{at}doctors.org.uk

We report a case of HIV-associated carotid vasculitis, causing cerebral infarction. Immediate corticosteroid treatment was followed by improvement, with radiological documentation of reversal of the vasculitic changes, preventing arterial occlusion. Vasculitis should be considered as a diagnosis in stroke in HIV and steroid treatment considered as a potentially life-saving intervention.

Key Words: HIV • vasculitis • stroke

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