[Chronic periodontitis with Takayasu arteritis: a case report].

Area of Science:

• Periodontology
• Immunology
• Vascular Inflammation

Background:

• Takayasu arteritis (TA) is a chronic inflammatory disease affecting large arteries.
• Periodontitis is a chronic inflammatory condition impacting the gums and supporting structures.
• The interplay between systemic inflammation and oral health is an area of ongoing research.

Observation:

• A 23-year-old female patient with a history of Takayasu arteritis presented with chronic periodontitis.
• The patient underwent non-surgical periodontal therapy.
• Inflammatory markers, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), were monitored before and after treatment.

Findings:

• ESR decreased from 31.00 mm/h to 23.0 mm/h.
• CRP decreased from 21.40 mg/L to 18.46 mg/h.
• These reductions occurred without changes in the patient's prescribed medications for Takayasu arteritis.

Implications:

• This case suggests a possible association between periodontal health and systemic inflammation in Takayasu arteritis.
• Inflammatory factors, bacterial influences, and medication effects may mediate the relationship between periodontitis and TA.
• Further large-scale studies are warranted to elucidate the connection and therapeutic potential.