Carotid aneurysm presenting as Takayasu arteritis
Keywords:
Takayasu arteritis, carotid aneurysm, MRI, ultrasound, computed tomographyAbstract
Takayasu's arteritis is a vasculitis of large vessels, with involvement of aorta, pulmonary artery and its branches. Vascular inflammation causes wall thickening, fibrosis, stenosis and thrombosis. Its incidence is 2.6 cases per million per year, but in places like Japan has reported an incidence of 1 in 3000 cases. It mainly affects the female gender, appearing in more common form in the second or third decade of life. Patients may be asymptomatic or present with nonspecific symptoms such as fever, sweating, malaise, weight loss, arthralgia or myalgia, to have severe neurological events. This entity has been little studied in the pediatric population. We describe the case of a pediatric patient who had carotid aneurysm as initial manifestation of Takayasu arteritis.Downloads
References
Takayasu M. A case of paradoxical changes in the central retinal arteries. J Jpn Ophthalmol Soc 1908;12:554-5
Kerr GS, Hallahan CW, Giordano J, et al. Takayasu arteritis. Ann Intern Med 1994;120:919-29.
Weyand CM, Goronzy JJ. Medium- and large-vessel vasculitis. N Engl J Med 2003;349:160-9.
Kerr GS. Takayasu's arteritis. Rheum Dis Clin North Am 1995;21:1041-58.
Ohigashi H, Haraguchi G, Konishi M, et al. Improved prognosis of Takayasu arteritis in the last decade: comprehensive analysis of 106 patients. Circ J 2012;76:1004-11.
Mukhtyar C, GuillevinL Cid MC, Dasgupta B, et al. EULAR recommendations for the management of large vessel vasculitis. Ann Rheum Dis 2009;68:318-23.
Kumar VS, Dutt S, Bhat R. Takayasu's arteritis--stroke as an initial presentation. J Assoc Physicians India. 2014;62(7):623-7
Moriwaki R, Noda M, Yajima M, et al. Clinical manifestations of Takayasu arteritis in India and Japan-new classification findings. Angiology. 1997;48:369-79.
Díaz M, Bacilio U, Herrera M, Meave A, Alexanderson E, Zambrana G, et al. Coronary Artery Aneurysms and Ectasia: Role of Coronary CT Angiography RadioGraphics 2009;29:1939-54
Enketasubramanian N. Diagnosis and management of Takayasu arteritis. Perspectives in medicine. 2012;1:255-6.
Andrews J, Mason JC. Takayasu's arteritis — recent advances in imaging offer promise. Rheumatology (Oxford) 2007;46:6–15.
Terao C. History of Takayasu arteritis and Dr. Mikito Takayasu. Int J Rheum Dis. 2014;17(8):931-5
Japanese Circulation Society (JCS) Joint Working Group. Guideline for management of vasculitis syndrome (JCS 2008). Circ J. 2011;75:474-503.
Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F. Clinical manifestations of Takayasu arteritis in India and Japan- new clasification of angiographic findings. Angiology. 1997;48:369-79
Pipitone N, Versari A, Salvarani C. Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update. Rheumatology 2008;47:403-8.
Ramírez-Cruz GB, Criales-Vera SA. Enfermedad de Takayasu: espectro de hallazgos por imagen. Anales de Radiología México 2013;4:255-261
Isobe M. Takayasu arteritis revisited: Current diagnosis and treatment. International Journal of Cardiology. 2013;168:3-10
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