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Takayasu's Arteritis in a 33-Year-Old Male
Raoon Khan1, Anum Arif2, Syed Hashim Ali Inam3
1Internal Medicine, Combined Military Hospital Lahore Medical College and Institute of Dentistry, Lahore, PAK.
Cureus
|May 24, 2021
Summary
Takayasu's arteritis (TA), a large-vessel vasculitis, can affect males differently than females. Early diagnosis and multidisciplinary care are crucial for managing this rare condition.
Area of Science:
- Vascular Medicine
- Rheumatology
- Immunology
Background:
- Takayasu's arteritis (TA) is a rare large-vessel inflammatory vasculitis affecting the aorta and its branches.
- Typically seen in young females, TA presents with diverse clinical manifestations due to potential multi-organ system involvement.
Observation:
- A 33-year-old male presented with sudden hypertension, fever, myalgias, and neurological symptoms.
- Imaging revealed multi-vessel stenosis, including the celiac, superior mesenteric, renal, and internal iliac arteries, with a right atrophic kidney.
Findings:
- The patient was diagnosed with Takayasu's arteritis and treated with corticosteroids and immunosuppressants.
- Five years later, he developed acute abdomen due to inferior mesenteric artery stenosis, requiring surgical intervention and planned stenting.
Implications:
- This case highlights potential sex-based differences in TA presentation and disease progression.
- Emphasizes the need for early diagnosis, comprehensive workup, and a multidisciplinary approach for effective TA management.
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