Rüppell F, Mickley F, Seidel W, Thiele J, Hartmann A
1 Klinik für Innere Medizin, Städtisches Klinikum St Georg Leipzig.
Vasa. 2006 May;35(2):118-22. doi: 10.1024/0301-1526.35.2.118.
We report on a 29-year-old male patient with collapse and recurrent vertigo. Physical examination showed a bruit of the left common carotid artery on auscultation and a pulselessness of both arms. The diagnosis of Takayasu's arteritis was based on the results of duplex sonography, MRI and angiography (stenosis and occlusion of extracranial arteries). Laboratory results did not reveal any specific changes. Combined treatment with prednisolone and azathioprine was initiated. After 12 days we saw an improvement of duplexsonographical and laboratory findings. Takayasu's disease should be considered as a differential diagnosis in patients with stenosis and occlusions of the aortic arch and its main branches (e.g. pulselessness). MRI is a valuable method in detection of wall abnormalities of the aorta, its branches and other large arteries.
我们报告了一名29岁的男性患者，他出现了晕厥和反复眩晕的症状。体格检查发现听诊时左颈总动脉有杂音，双臂脉搏消失。根据双功超声、磁共振成像（MRI）和血管造影（颅外动脉狭窄和闭塞）的结果，诊断为高安动脉炎。实验室检查结果未发现任何特异性变化。开始使用泼尼松龙和硫唑嘌呤联合治疗。12天后，我们观察到双功超声检查和实验室检查结果有所改善。对于主动脉弓及其主要分支狭窄和闭塞（如脉搏消失）的患者，应考虑将高安病作为鉴别诊断。MRI是检测主动脉、其分支和其他大动脉壁异常的一种有价值的方法。
