A Rare Presentation of Type-III Takayasu's Arteritis in a 20-Year-Old Female.

Autor: Mazhar N; Medicine, Combined Military Hospital, Lahore, PAK., Arif A; Vascular Surgery, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK., Manzoor Bhatti A; Vascular Surgery, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK., Riaz B; Internal Medicine, CMH Lahore Medical College and Institute of Dentistry, Lahore, PAK., Inam SHA; Internal Medicine, Army Medical College, Rawalpindi, PAK.; Neurology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA., Sherwani NZF; Internal Medicine, CMH Lahore Medical and Dental College, Lahore, PAK.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2021 Sep 15; Vol. 13 (9), pp. e17991. Date of Electronic Publication: 2021 Sep 15 (Print Publication: 2021).
DOI: 10.7759/cureus.17991
Abstrakt: Takayasu's arteritis is a rare chronic granulomatous vasculitis that predominantly affects the aorta and its branches. It is estimated to affect 2.6/million/annum, predominantly women in the second or third decade of their lives. This case report describes the case of a 21-year-old female, who initially only had low-grade fever and acrodynia, which over a few months, progressed to arm and leg claudication, weight loss, nausea, headache, and dizziness. A year later, the patient experienced impalpable radial pulses bilaterally, and her CT angiogram revealed multi-level arterial stenosis. A diagnosis of Takayasu's arteritis was made and the patient was started on steroids and methotrexate. A consult was made with vascular surgery but no intervention was deemed necessary and the patient responded well to the medical treatment given. Though Takayasu's arteritis is a very rare disease, a detailed history, clinical examination, and investigations can help with early diagnosis.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Mazhar et al.)
Databáze: MEDLINE