Boltin Doron, Wollman Jonathan, Anouk Marina, Goor Yoav, Ablin Jacob, Gur Hanan Guzner, Caspi Dan, Elkayam Ori
Department of Internal Medicine F, Tel Aviv Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, 64239 Tel Aviv, Israel.
Rheumatol Int. 2007 Aug;27(10):985-7. doi: 10.1007/s00296-007-0326-5. Epub 2007 Mar 17.
The diagnosis of Takayasu arteritis requires a high degree of clinical suspicion. We herein present two cases of Takayasu arteritis that demonstrate two important aspects of the disease, which leaded to a significant delay in the diagnosis. The first case presented with an indolent disease with a clinical course of 20 years until clinical diagnosis was finally established while the second case shows the commonly unrecognised aspect of severe renovascular hypertension in these patients.
大动脉炎的诊断需要高度的临床怀疑。我们在此报告两例大动脉炎病例,展示了该疾病的两个重要方面,这导致了诊断的显著延迟。第一例表现为隐匿性疾病,临床病程长达20年才最终确诊,而第二例则显示了这些患者中严重肾血管性高血压这一通常未被认识到的方面。