Takayasu Arteritis: An Atypical Presentation. Case Report

Authors

DOI:

https://doi.org/10.61708/6ezmjh29

Keywords:

Takayasu's arteritis, etiology, diagnosis

Abstract

Takayasu’s arteritis is a granulomatous vasculitis affecting large vessels. Its etiology remains uncertain, predominating in women-men younger than 40 years, with the first epidemiological reports prevailing in Southeast Asia to the rest of the population. However, new cases with similar characteristics outside this geographic region make us think about the possible underdiagnosis of this pathology. This vasculitis commonly affects the aorta and its main branches, presenting with local pain, signs and symptoms of regional ischemia. We bring the report of a 21-year-old male patient who suddenly presented with paresthesia of the lower limbs limiting his ambulation together with extreme distal pallor and absence of pedial pulses, with report of thoracic and iliac Angiotac of decreased caliber in its trajectory and myointimal thickening. This clinical case aims to emphasize the early detection of atypical presentations that raise suspicion of this entity, contributing to the increase of its recognition, diagnosis, and casuistry.

Downloads

Download data is not yet available.

Author Biographies

  • Lisseth Yugcha, Hospital Alfredo Paulson. Guayaquil, Ecuador

    Servicio de Medicina Interna, Hospital Alfredo Paulson. Guayaquil, Ecuador.

  • Kathiuska Aparicio, Hospital Alfredo Paulson. Guayaquil, Ecuador

    Servicio de Medicina Interna, Hospital Alfredo Paulson. Guayaquil, Ecuador.

References

Tian X, Zeng X, Huang C, Zhao Y, Wu Z, Jiang L, et al. Chinese guideline for the diagnosis and treatment of Takayasu's arteritis (2023). Rheumatology and Immunology Research . 2024 Mar 1;5(1):5-26. https://doi.org/10.1515/rir-2024-0002 DOI: https://doi.org/10.1515/rir-2024-0002

Rutter M, Bowley J, Lanyon PC, Grainge MJ, Pearce FA. A systematic review and meta-analysis of the incidence rate of Takayasu arteritis. Rheumatology (Oxford). 2021 Nov 3;60(11):4982-4990. https://doi.org/10.1093/rheumatology/keab406 DOI: https://doi.org/10.1093/rheumatology/keab406

Gamboa P. Takayasu's arteritis. Revista Colombiana de Cardiologia. 2020 sept. 1;27(5):428-433. doi: 10.1016/j.rccar.2020.05.005. https://doi.org/10.1016/j.rccar.2020.05.005 DOI: https://doi.org/10.1016/j.rccar.2020.05.005

La Barbera L, Rizzo C, Camarda F, Miceli G, Tuttolomondo A, Guggino G. The Contribution of Innate Immunity in Large-Vessel Vasculitis: Detangling New Pathomechanisms beyond the Onset of Vascular Inflammation. Cells. 2024 Feb 1;13(3):271. https://doi.org/10.3390/cells13030271 DOI: https://doi.org/10.3390/cells13030271

De Souza AWS, Sato EI, Brance ML, Fernández-Ávila DG, Scolnik M, Magri SJ, et al. Pan American League of Associations for Rheumatology Guidelines for the Treatment of Takayasu Arteritis. Journal of Clinical Rheumatology. 1 de octubre de 2023;29(7):316-25. https://doi.org/10.1097/RHU.0000000000002004 DOI: https://doi.org/10.1097/RHU.0000000000002004

Grayson PC, Ponte C, Suppiah R, Robson JC, Gribbons KB, Judge A, et al. 2022 American College of Rheumatology/EULAR classification criteria for Takayasu arteritis. Ann Rheum Dis. 2022 Nov 9;81(12):1654-60. https://doi.org/10.1002/art.42324 DOI: https://doi.org/10.1002/art.42324

Dejaco C, Ramiro S, Bond M, Bosch P, Ponte C, Mackie SL, Bley TA, Blockmans D, Brolin S, Bolek EC, Cassie R, Cid MC, Molina-Collada J, Dasgupta B, Nielsen BD, De Miguel E, Direskeneli H, Duftner C, Hočevar A, Molto A, Schäfer VS, Seitz L, Slart RHJA, Schmidt WA. EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice: 2023 update. Ann Rheum Dis. 2024 May 15;83(6):741-751. https://doi.org/10.1136/ard-2023-224543 DOI: https://doi.org/10.1136/ard-2023-224543

Gamboa P. Takayasu's arteritis. Revista Colombiana de Cardiologia. 2020 sept. 1;27(5):428-433. doi: https://doi.org/10.1016/j.rccar.2020.05.005. DOI: https://doi.org/10.1016/j.rccar.2020.05.005

Di Santo M, Stelmaszewski É V., Villa A. Endovascular intervention in takayasu arteritis. Case report. Arch Argent Pediatr. 2016 Jun 1;114(3):e147-50.

Polaina Rusillo M, Martos S, Vallejo Miñarro J, Liébana Cañada A. Atípica presentación de arteritis de Takayasu. NefroPlus. 2011;4(2):31-5

Downloads

Published

2024-12-30

Issue

Section

Case report

How to Cite

1.
Yugcha L, Aparicio K. Takayasu Arteritis: An Atypical Presentation. Case Report. Gac Med JBG [Internet]. 2024 Dec. 30 [cited 2026 Mar. 7];2(3):63-9. Available from: https://gacetamedicajbgmedec.biteca.online/index.php/GMJBG/article/view/36
Crossref Cited-by logo