Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): Onset time 2010 Spring Festival often fall, more serious than before, how to treat? Doctor: Hello! The symptoms you mentioned above are mainly manifestations of narrowing of blood vessels caused by aortitis and insufficient blood supply to the corresponding organs (frequent falls are considered as insufficient blood supply to the brain). Whether these manifestations can be healed or whether they will aggravate or appear as heart symptoms depends mainly on the degree of ischemia of the corresponding organs caused by aortitis and the effect on the systemic hemodynamic blood flow. In some organs, the post-ischemic changes are irreversible, and symptoms may remain even if the arteritis is cured and the stenosis is lifted. Another aspect of the symptoms are those of a systemic inflammatory response, such as malaise and fever. These symptoms can be relieved or even disappear as the arteritis activity is controlled. Again, talk about vascular recovery. Aortitis is an immune system disease, and with hormonal therapy (prednisone, etc.) and immunosuppressants (cyclophosphamide, etc.), the inflammatory activity can be controlled and the inflammatory response in the vessel wall can subside. However, in some cases, due to the high inflammatory response of the vessel wall, there is still a narrowing of the vessel after the inflammation is controlled, and there is also a possibility of sclerosis and calcification of the vessel wall due to the long-term inflammatory response. In such cases, even if the systemic inflammation of aortitis is cured, the morphology of the vessels cannot be completely normalized. In this case, surgical intervention with vascular surgery is required. In general, multiple aortitis is a disease that is primarily treated medically. After the inflammatory activity is controlled (the most basic indicator is normal blood sedimentation) if arterial lesions (stenosis or dilatation) are still present, surgical intervention is required.