Initial Manifestation Of Takayasu's Arteritis Research Articles

Acute Heart Failure Due to Midaortic Occlusion as the Initial Manifestation of Takayasu Arteritis

An afebrile 8-year-old Japanese girl was referred with hypotensive shock and respiratory distress. She presented with a cough of 1-week duration followed by lethargy, dyspnea, and anuria, with which she was admitted to a previous hospital. She was intubated and given intravenous catecholamines, which did not improve her symptoms. Then, she was transferred to our hospital. Physical examination revealed a right arm blood pressure of 128/64 mm Hg and a left arm blood pressure of 94/56 mm Hg while on 4.6 μg/kg per min of dopamine and dobutamine. However, no blood pressure was obtained in the lower limbs. The heart sounds were distant with no murmur audible. Coarse crackles were prominent in both lungs. Laboratory data showed the following values: creatine kinase of …

Takayasu arteritis presenting as cerebral aneurysms in an 18 month old: A case report

BackgroundCentral nervous system involvement occurs in as many as twenty percent of Takayasu arteritis cases. When central nervous system disease is present, it typically manifests as cerebral ischemia or stroke. There are rare reports of intracranial aneurysms in adults with Takayasu arteritis, but none in children.Case presentationWe describe a case of Takayasu arteritis in an 18 month old girl who presented with a ruptured cerebral aneurysm. Full body magnetic resonance angiography revealed bilateral iliac, pelvic and intragluteal aneurysms, irregular terminal aorta, and stenotic renal arteries. Iliac vessel biopsy showed a lymphocytic infiltrate and giant cells localized to the internal elastica.ConclusionThis case highlights cerebral aneurysm as a highly unusual initial manifestation of Takayasu arteritis and demonstrates the challenges of diagnosis, treatment, and assessment of response to therapy in TA in children.

Ultrasonographic Diagnosis of a Cervical Mass Caused by a Calcified Thrombus as an Initial Manifestation of Takayasu Arteritis

With recent advancement in ultrasound technology and devices, ultrasonography has been widely used in the diagnosis of cervical masses, including benign or malignant lymphadenopathy, struma, cysts, and others. 1-3 Ultrasonography of superficial organs in the cervical area has also been used for evaluation of carotid artery diseases such as arteriosclerosis and inflammatory diseases. An example of the latter is Takayasu arteritis. It is an inflammatory and stenotic disease of medium and large arteries characterized by a strong predilection for the aortic arch and its branches. 4-6 Its ultrasonographic findings include a homogeneous and concentric increase in the intima-media thickness (IMT) of the carotid artery walls. 7-11 Substantial (>50%) obstruction or occlusion and even dilatation also can be seen. 11,12 Its clinical manifestations vary from generalized symptoms such as malaise, fever, and night sweats to vascular system-related ones such as ischemia and absent pulses. 5,6 We had a patient with a painful mass in the right lateral neck, which was ultrasonographically diagnosed as Takayasu arteritis. There was a calcified thrombus at the bulb leading to total obstruction of the right common carotid artery (CCA) and a substantial increase in the IMT of adjacent artery walls. Here, we describe the ultrasonographic findings and clinical implications of a cervical mass caused by a calcified thrombus as an initial manifestation of Takayasu arteritis.

Carotid sinus hypersensitivity as the initial manifestation of Takayasu arteritis

Internal Medicine JournalVolume 35, Issue 11 p. 683-684 Carotid sinus hypersensitivity as the initial manifestation of Takayasu arteritis E. Amiya, E. Amiya 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 1 K. Tanabe, K. Tanabe 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 2 Y. Ikari, Y. Ikari 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 2 K. Hara, K. Hara 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 2 E. Amiya, E. Amiya 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 1 K. Tanabe, K. Tanabe 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 2 Y. Ikari, Y. Ikari 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 2 K. Hara, K. Hara 1 Department of Cardiovascular Medicine, University of Tokyo and 2Division of Cardiology, Mitsui Memorial Hospital, Tokyo, JapanSearch for more papers by this author 2 First published: 21 October 2005 https://doi.org/10.1111/j.1445-5994.2005.00952.xCitations: 2 Correspondence to: Eisuke Amiya, Department of Cardiovascular Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. Email: amiyae-tky@umin.ac.jp Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume35, Issue11November 2005Pages 683-684 RelatedInformation