Abstract
Takayasu arteritis (TAK) is not an uncommon cause of vasculitis in Caucasian females, however, involvement of bilateral carotid artery is a very rare presentation. We are presenting a 31-year-old young Caucasian female who presented with left-sided neck pain, headache and was subsequently found to have vasculitis of bilateral carotid arteries.
Highlights
Takayasu arteritis (TAK), known as “pulseless disease,” is a large vessel vasculitis that primarily affects women of Asian descent, it is not uncommon in Caucasian females [1]
We highlight the difficulty in diagnosing Takayasu arteritis in a young Caucasian female who presents with neck pain
TAK presents with a myriad of symptoms including weight loss, low-grade fever, fatigue, arthralgias, carotidynia, absent or weak pulses, hypertension, limb claudication, angina, rash, gastrointestinal, and neurological symptoms [2-6]
Summary
Takayasu arteritis (TAK), known as “pulseless disease,” is a large vessel vasculitis that primarily affects women of Asian descent, it is not uncommon in Caucasian females [1]. Since most symptoms are nonspecific, TAK is often undiagnosed or misdiagnosed In this case report, we highlight the difficulty in diagnosing Takayasu arteritis in a young Caucasian female who presents with neck pain. A 31-year-old female with a past medical history significant for preeclampsia and hypertension, who presented with left-sided neck pain and headache for about a month and worse for one week. Patient was started on Imuran 100 mg daily for TAK
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