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2023, Number 2

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Acta Med 2023; 21 (2)

Takayasu arteritis with fulminant evolution due to multivascular disease in an adult

Arellano AJG, Arellano GG, Aguirre TJ, Mora CJ, Hasslacher AJF, Domínguez CLG
Full text How to cite this article 10.35366/110265

DOI

DOI: 10.35366/110265
URL: https://dx.doi.org/10.35366/110265

Language: Spanish
References: 5
Page: 164-166
PDF size: 239.13 Kb.


Key words:

Takayasu arteritis, arterial obstruction, large vessel arteritis.

ABSTRACT

Introduction: Takayasu arteritis is a granulomatous inflammation of the aorta and its main branches of unknown etiology that most often affects women of childbearing age. Case report: a female of 47 years old, in whom the diagnosis of Takayasu arteritis was reached, debuted with joint pain at the level of both hips, making it impossible to walk; after seven days, she presented left hemiplegia and a period of five days, presented obstruction of multiple arteries, including carotid, middle cerebral, brachial, radial, and tibial, requiring amputation at the level of the right forearm, with a torpid evolution in the postoperative period with multiple arterial obstructions. Passing away. Conclusion: fulminant presentation of Takayasu arteritis has been reported in childhood; its description in adults is exceptional.


REFERENCES

  1. Alnabwani D, Patel P, Kata P, Patel V, Okere A, Cheriyath P. The epidemiology and clinical manifestations of takayasu arteritis: a descriptive study of case reports. Cureus. 2021; 13 (9): e17998.

  2. Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum. 1990; 33 (8): 1129-1134.

  3. Tombetti E, Mason JC. Takayasu arteritis: advanced understanding is leading to new horizons. Rheumatology (Oxford). 2019; 58 (2): 206-219.

  4. Dabague J, Reyes PA. Takayasu arteritis in Mexico: a 38-year clinical perspective through literature review. Int J Cardiol. 1996; 54 Suppl: S103-S109.

  5. Soto ME, Espinola N, Flores-Suarez LF, Reyes PA. Takayasu arteritis: clinical features in 110 Mexican Mestizo patients and cardiovascular impact on survival and prognosis. Clin Exp Rheumatol. 2008; 26 (3 Suppl 49): S9-S15.




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Acta Med. 2023;21