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Takayasu arteritis in an infant
S Sandeep1, V N Unni1, K P Sreekumar2
1Department of Nephrology, Amrita Institute of Medical Sciences and Research Centre, Amrita Viswa Vidyapeetham University, Kochi, Kerala, India.
Insights
Takayasu arteritis (TA), a rare inflammatory condition, was diagnosed in a 2-year-old girl with hypertension. This likely represents the youngest reported Indian case of TA with bilateral renal artery stenosis.
Area of Science:
- Pediatric rheumatology
- Cardiovascular pathology
- Rare pediatric diseases
Background:
- Takayasu arteritis (TA) is a chronic inflammatory condition affecting the aorta and its major branches.
- TA predominantly affects young women, with infantile cases being exceptionally rare.
Observation:
- A 2-year-old girl presented with new-onset hypertension.
- Diagnostic workup revealed Takayasu arteritis with bilateral renal artery stenosis.
Findings:
- The patient's presentation at 2 years old makes this one of the youngest reported cases globally.
- This case highlights TA as a potential cause of pediatric hypertension and renal artery stenosis.
Implications:
- Early diagnosis and management of TA in infants are crucial to prevent long-term cardiovascular complications.
- This case expands the understanding of TA's rare presentation in early childhood.
- Further research is needed to elucidate the pathogenesis and optimal treatment strategies for infantile TA.
Abstract:
Takayasu arteritis (TA), a chronic inflammatory arteritis affecting the aorta and its main branches, is a rare condition mainly affecting young women in the second and third decades of life. Occurrence of TA in infants is extremely rare, with only less than 10 cases reported all over the world until date. We report a case of a 2-year-old girl who presented with hypertension and was diagnosed to have TA with bilateral renal artery stenosis and this is probably the youngest case reported from India.
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