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Diffused coronary involvement in Takayasu arteritis with concomitant malignancy
Inbar Nardi-Agmon1,2, Ashraf Hamdan3,4, Alon Eisen3,4
1Cardiology Division, Rabin Medical Center - Beilinson Hospital, 39 Zabotinski st., 4941492, Petach Tikva, Israel. inbaragmon@gmail.com.
Insights
This case study highlights a young patient with Takayasu arteritis and extensive coronary disease, who also had Hodgkin
Area of Science:
- Cardiology
- Rheumatology
- Oncology
Background:
- Large vessel vasculitis (LVV) involves inflammation of major arteries, including coronary arteries.
- Coronary artery disease in systemic vasculitis leads to significant morbidity and mortality.
Observation:
- A young patient presented with extensive coronary disease, diagnosed as Takayasu arteritis.
- Concurrently, the patient was diagnosed with Hodgkin's lymphoma.
Findings:
- Literature review identified ten prior cases of malignancies associated with Takayasu arteritis.
- This case underscores the complexity of managing concurrent hematological malignancy with Takayasu arteritis and extensive coronary arteritis.
Implications:
- Effective management requires a multidisciplinary team approach.
- Optimizing clinical outcomes for both conditions is crucial.
- Further research into the link between vasculitis and malignancy may be warranted.
Abstract:
Large vessel vasculitis (LVV) is composed of conditions in which inflammation of blood vessel walls affects mainly large arteries, such as the aorta and its main branches, and in some cases the coronary arteries. Coronary artery involvement in systemic vasculitis is associated with significant morbidity and mortality. We present a case of a young patient diagnosed with extensive coronary disease diagnosed as Takayasu arteritis, when whom a concomitant diagnosis of Hodgkin's lymphoma was made. The literature review revealed ten cases of malignancies associated with Takayasu arteritis. We discuss the complexity of the management of concurrent hematological malignancy with TAK and extensive coronary arteritis. This complicated and cross-disciplinary case also represents the pivotal importance of multi-disciplinary team decision in order to achieve the best clinical outcome of both disorders.
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