Takayasu's arteritis as an incidental finding in a patient with celiac disease: the importance of positron emission computed tomography.
| Autor: | Moreno-Sánchez A; Servicio de Pediatría., Molina-Herranz D; Servicio de Pediatría., Aguilar-de-la-Red Y; Facultativos Especialistas de Área de Pediatría, Unidad de Oncohematología Infantil., Jiménez-Montañés L; Facultativos Especialistas de Área de Pediatría, Unidad de Oncohematología Infantil.; Unidad de Cardiología Infantil., Medrano-SanIldefonso M; Facultativos Especialistas de Área de Reumatología, Unidad de Reumatología Infantil., García-Romero R; Facultativos Especialistas de Área de Pediatría, Unidad de Oncohematología Infantil.; Unidad de Gastroenterología Infantil. Hospital Universitario Miguel Servet, Zaragoza, España. |
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| Jazyk: | angličtina |
| Zdroj: | Boletin medico del Hospital Infantil de Mexico [Bol Med Hosp Infant Mex] 2023; Vol. 80 (Supl 1), pp. 82-86. |
| DOI: | 10.24875/BMHIM.22000122 |
| Abstrakt: | Background: Takayasu arteritis is a large-vessel vasculitis which affects large-caliber elastic arteries, primarily the aorta and its main branches. It mainly affects women between 20-30 years, so it is rare in children. Case Report: We describe the case of a 15-year-old female who was followed up since she was 9 years old due to celiac disease. At the age of 13, anaemia of chronic disorders associated to elevated C-reactive protein and erythrocyte sedimentation were detected. The patient remained asymptomatic. After excluding other diseases, we requested a positron emission computed tomography (PET-CT); lesions compatible with large-vessel vasculitis were detected. Cardiology evaluation showed an aneurysm in the right coronary artery. Angio-CT suggested Takayasu type III arteritis. Conclusions: The delay in the diagnosis of Takayasu arteritis in pediatric patients is quite common. In this case, we have found phase II lesions, with no previous phase I symptoms. However, PET-CT allowed the diagnosis of vasculitis, key to the diagnosis of the patient. (Copyright: © 2023 Permanyer.) |
| Databáze: | MEDLINE |
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