Assistant Professor (Oral and Maxillofacial Surgery), Department of Dentistry, Government Medical College and Hospital (GMCH), Chandigarh, India.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Nov;116(5):e352-5. doi: 10.1016/j.oooo.2012.01.036. Epub 2012 Aug 15.
Takayasu's arteritis (TA) is an inflammatory disease with an unknown cause. It is also known as aortic arch syndrome and pulseless disease. Complications of TA often include cerebral infarct, valvular heart disease, intracranial hemorrhage, congestive heart failure, seizures, retinopathy, and renovascular hypertension. We report a case of an 18-year-old female patient with TA who presented with a severe oral infection associated with a mandibular third molar. Such a complication in patients with TA is rare and this is probably the first reported case in the English medical literature. The patient was managed satisfactorily, with due precautions and no recurrence. More so, as the prognosis of TA has improved, the chances of dental treatments of patients afflicted with the same are likely to increase. In addition, this article highlights the guidelines for the management of patients in various dental specialties.
Takayasu 动脉炎（TA）是一种病因不明的炎症性疾病。它也被称为主动脉弓综合征和无脉症。TA 的并发症通常包括脑梗死、心脏瓣膜病、颅内出血、充血性心力衰竭、癫痫、视网膜病变和肾血管性高血压。我们报告了一例 18 岁女性 TA 患者，她因下颌第三磨牙严重口腔感染就诊。这种并发症在 TA 患者中很少见，这可能是英文医学文献中首例报道。该患者经适当预防处理后得到满意治疗，无复发。更重要的是，随着 TA 的预后改善，患有这种疾病的患者接受牙科治疗的机会可能会增加。此外，本文还强调了各牙科专业患者管理的指导方针。
