Lima Luana Thayse Barros de, Christopoulos Georges Basile, Braga Virgínia Moreira, Nemézio Maria Eliza M, Souza Ana Paula M M, Rêgo Ana Clara C
Universidade Federal de Alagoas, Brazil.
Rev Bras Reumatol. 2011 Mar-Apr;51(2):193-5.
Takayasu's arteritis (TA) is an idiopathic chronic inflammatory disease of the connective tissue that affects mainly the aorta and its branches. Treatment is mainly based on corticosteroids and immunosuppressants. We report the case of a 33-year-old female complaining of malaise, fever, myalgia, severe pulsing holocranial headache resistant to analgesics, systemic arterial hypertension hard to control, right lower limb claudication, and severe abdominal pain that worsened after the meals. Angiotomography revealed aneurysm of the ascending aorta, and stenosis of the following vessels: right common iliac artery, renal arteries, and superior mesenteric artery. Those findings supported the diagnosis of mesenteric angina and the interventional approach by use of percutaneous transluminal angioplasty with stent placement.
高安动脉炎（TA）是一种特发性慢性结缔组织炎症性疾病，主要累及主动脉及其分支。治疗主要基于皮质类固醇和免疫抑制剂。我们报告了一例33岁女性病例，该患者主诉全身不适、发热、肌痛、对镇痛药耐药的严重搏动性全头痛、难以控制的系统性动脉高血压、右下肢间歇性跛行以及餐后加重的严重腹痛。血管造影显示升主动脉瘤，以及以下血管狭窄：右髂总动脉、肾动脉和肠系膜上动脉。这些发现支持肠系膜绞痛的诊断以及采用经皮腔内血管成形术并置入支架的介入治疗方法。
