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Takayasu Arteritis Masquerading as Shoulder Pain: A Case Report
Prabhat Poudel1, Paras Oli1, Prashant Ojha2
1Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|May 28, 2022
Summary
Takayasu arteritis, a rare vessel inflammation, can present with shoulder pain. Early diagnosis and treatment in young women can prevent severe complications.
Area of Science:
- Vascular Inflammation
- Rheumatology
- Cardiovascular Disease
Background:
- Takayasu arteritis is a rare, chronic inflammatory disease affecting the aorta and its branches.
- It predominantly impacts young women, particularly in Asia, presenting diverse cardiovascular symptoms.
Observation:
- This case study highlights a young girl with Takayasu arteritis presenting solely with shoulder pain and weakness.
- This atypical presentation underscores the varied clinical manifestations of the disease.
Findings:
- Takayasu arteritis can manifest with subtle, localized symptoms like shoulder pain, not just systemic or cardiovascular signs.
- Early identification is crucial for timely intervention.
Implications:
- Recognizing shoulder pain as a potential early sign of Takayasu arteritis can lead to earlier diagnosis.
- Prompt treatment with disease-modifying anti-rheumatic drugs can improve patient outcomes and prevent long-term sequelae.
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