Anaesthesia for caesarean section in takayasus disease. We present a case of takayasu s disease occlusive thromboaortopathy otap in which general anaesthesia was used for caesarean section with processed encephalographic monitoring to detect cerebral ischaemia. Ultrasound of the carotid and subclavian arteries can aid in early diagnosis of the disease. The disease typically presents with a prepulseless phase that overlaps or is. Ct angiography clearly depicts both luminal and mural changes in the thoracic aorta and its major branches and has a high accuracy in the diagnosis of takayasu arteritis. Takayasu arteritis, with variants called pulseless disease, branchial arteritis, and giantcell arteritis of the aorta, involves principally the thoracic aorta chest portion and the adjacent segments of its large branches. To assess the relationship between takayasu arteritis tak and pregnancy outcome. It is named after the japanese professor mikito takayasu who first described the findings of the disease in the young japanese population group.
Takayasu s arteritis ta is a chronic inflammatory and fibrosing arteriopathy that can also involve cutaneous vessels. Takayasus arteritis is a largevessel vasculitis occurring mainly in adolescent girls and young women. A 19yearold woman presented with a 4month history of fatigue, weight loss, and thrombocytosis. Ct angiography was prospectively performed in 12 women with takayasu arteritis and in 10 healthy adults. As a result of the inflammation, stenosis, occlusion or dilatation of the involved vessels may occur and cause a wide range of symptoms. Gadoliniumenhanced threedimensional mr angiography of. Takayasu arteritis ta is a large vessel vasculitis that usually affects young female patients during the second and third decades of life, but has been reported in children as young as 24 months of age. We studied prognostic factors of this disease, based on followup results, and a new prognostic classification was proposed. Takayasu arteritis is a form of large vessel vasculitis with a possible autoimmune origin that may cause stenosis of the aorta and its major branches. Unusual presentation of takayasu arteritis with cardiac involvement and imitation of juvenile arteriosclerosis a case report. Crohns disease of the colon with takayasu s arteritis. Background patients with takayasu s disease, a chronic inflammatory arteriopathy of unknown cause, have variable clinical courses, and predictors of the longterm outcome are not well understood.
Examination showed a difference of 40 mm hg in systolic blood pressure. The full text of this article is available in pdf format. Takayasus disease with cutaneous involvement request pdf. The sensitivity and specificity of ct angiography in the diagnosis of takayasu arteritis were 95% and 100%, respectively. Unusual presentation of takayasu arteritis with cardiac. The macaroni sign of takayasus arteritis the journal.
Takayasu s disease is a rare chronic vasculitis of unknown aetiology. Mr images of 77 patients with ta 74 women, three men were obtained with a 1. Takayasu s arteritis arteritis, takayasu s pulseless disease takayasu syndrome arteritis, takayasu arteritis, takayasus takayasu arteritis. Rapidly progressive aortic incompetence and coronary artery disease in a patient with takayasu s disease. Il sagit dune maladie inflammatoire des gros vaisseaux qui touche surtout les femmes. Takayasu arteritis ta is a chronic vasculitis of unknown origin, affecting mainly the aorta and its main branches. Pdf lombalgies febriles revelatrices dun maladiede. The patient was a 33yearold woman in whom otap had been the cause of cerebrovascular events. Because of the significant side effects of longterm highdose prednisone use, the starting dose is tapered over several. Systolic hypertension and cardiac mortality of takayasus. The authors evaluate the usefulness of magnetic resonance mr imaging in the diagnosis of takayasu arteritis ta. Among these patients, systemic disease can affect coronary arteries.
She had the typical pulseless upper body of otap and had documented severe bilateral. Takayasu arteritis ta is a rare chronic inflammatory disease of the aorta and its major branches. This study included 240 pregnancies in 96 patients fulfilling the american college of rheumatology 1990 criteria for the classification of tak andor the 1994 chapel hill consensus conference nomenclaturecriteria for vasculitis. Get a printable copy pdf file of the complete article 1.
Initial symptoms and signs are nonspecific, and a high index of suspicion is needed to make the correct diagnosis. Rapidly progressive aortic incompetence and coronary. Lombalgies febriles revelatrices dun maladiede takayasu. Symptoms, including diminished or absent pulses in the arms, are related to. It is seen predominantly in females during the second and third decades of life, although it can occur in childhood. To evaluate mural changes in the aorta and pulmonary artery in takayasu arteritis by using computed tomographic ct angiography. Pdf longterm outcome for 120 japanese patients with. To date, familial cases of ta have been considered rare. Familial takayasu arteritis a pediatric case and a. Takayasu arteritis ta is an idiopathic inflammatory vasculitis, predominantly involving aorta and its major division branches, with unknown etiology and higher prevalence in women.
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