Stroke as the initial manifestation of Takayasu’s arteritis: a Case report
Keywords:
Takayasu’s Arteritis, Stroke, Arteritis
Abstract
Takayasu’s arteritis is a chronic inflammatory and stenotic disease of medium and large sized arteries. We report clinical, laboratory and imaging findings of a 23 year old girl who presented with history of sudden onset of left hemiparesis.,absent bilateral upper limb and right carotid pulsations, an elevated ESR of 58 mm at 1 hour. C-reactive protein level of 34.9 mg/L.Imaging studies showed non hemmorhagic acute infarct in territory of right MCA, concentric wall thickening and resultant stenosis of most of the branches of aortic arch. The diagnosis of Takayasu’s arteritis was made and was put on steroids and anticoagulants. Patient showed a good clinical response.
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References
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2. Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, et al. Takayasu's Arteritis. Ann Intern Med. 1994;120:919–29. [PubMed]
2. Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, Hoffman GS. Takayasu Arteritis. Ann Intern Med. 1994 Jun 1;120(11):919-29. [PubMed]
3. Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: A review. J Clin Pathol. 2002;55:481–6. [PubMed]
4. Hart R, Miller V. Cerebral infarction in young adults: a practical approach. Stroke. 1983;14:110–114. [PubMed]
5. Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: a review. J Clin Pathol. 2002;55:481–486. [PubMed]
6. Arend WP, Michel BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum. 1990 Aug;33(8):1129–34. [PubMed]
7 Khandelwal N, Kalra N, Garg MK, Kanga M, Lal A, Jain S, et al. Multidetector CT angiography in Takayasu arteritis. Eur J Radiol. 2011;77:369–74. [PubMed]
8 .Hata A, Noda M, Moriwaki R, Numano F. Angiographic findings of Takayasu arteritis: new classification. Int J Cardiol. Aug 1996;54 Suppl:S155-63. [PubMed]
9. Grayson PC, Tomasson G, Cuthbertson D, Carette S, Hoffman GS, Khalidi NA, Langford CA, McAlear CA, Monach PA, Seo P, Warrington KJ, Ytterberg SR, Merkel PA: Association of vascular physical examination findings and arteriographic lesions in large vessel vasculitis. J Rheumatol 2012, 39:303-309.
10. Villa I, Agudo Bilbao M, Martinez-Taboada VM: [Advances in the diagnosis of large vessel vasculitis: identification of biomarkers and imaging studies].Reumatol Clin 2011, Suppl 3:S22-S27.
11. Ishihara T, Haraguchi G, Tezuka D, Kamiishi T, Inagaki H, Isobe M: Diagnosis and assessment of takayasu arteritis by multiple biomarkers.Circ J 2013, 77:477-483. [PubMed]
12. Ishikawa K: Natural history and classification of occlusive thromboaortopathy (Takayasu's disease).Circulation 1978, 57:27-35. [PubMed]
13. Koening CL, Langford CA. Takayasu's arteritis. Curr Treat Options Cardiovasc Med. 2008;10:164–72. [PubMed]
14. Subramanyan R, Joy J, Balakrishna KJ. Natural history of aorto-arteritis. Circulation.1989;80:429–37.
CITATION
DOI: 10.17511/ijmrr.2014.i04.24
Published: 2014-08-31
How to Cite
1.
Kumar Gupta A, Chaturvedi D, Mehrotra Y, Trivedi HH. Stroke as the initial manifestation of Takayasu’s arteritis: a Case report. Int J Med Res Rev [Internet]. 2014Aug.31 [cited 2024Nov.22];2(4):397-02. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/127
Section
Case Report
OAI - Open Archives Initiative
