Yousefghahari Behnaz, Ghorbani Hojatollah, Hashemougli Abolfazl
Department of Internal Medicine, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2011 Summer;2(3):283-5.
Takayasu arteritis is a granulomatous vasculitis which mainly involves the large arterial vessels. The disease is rare and it is more common in females aged between 15-30 years old. In this paper, we report a case of takayasu arteritis in Babol, north of Iran.
A 22 - year old female was admitted to the Department of Infectious Diseases of Rouhani Teaching Hospital due to anemia, high erythrocyte sedimentation rate (ESR), low grade fever and weight loss in the early summer of 2011. Her problems started four years ago and was hospitalized in another hospital and after full investigation, no diagnosis was found. Physical exam showed a vascular problem, then MRI angiography was done and showed an involvement of right carotid, abdominal aorta and right iliac arteries and the diagnosis of Takayasu Arthritis was confirmed. Prednisolone was administered, her fever subsided and ESR, CRP and hemoglobin were normalized.
Takayasu arteritis should be considered in the differential diagnosis of patient with protracted low grade fever, anemia and dramatically elevated ESR in young female in order to prevent late complications of the disease.
大动脉炎是一种主要累及大血管的肉芽肿性血管炎。该疾病较为罕见，在15至30岁的女性中更为常见。在本文中，我们报告了一例发生在伊朗北部巴博勒的大动脉炎病例。
一名22岁女性于2011年初夏因贫血、红细胞沉降率（ESR）升高、低热和体重减轻入住鲁哈尼教学医院传染病科。她的问题始于四年前，曾在另一家医院住院，经过全面检查后未确诊。体格检查显示存在血管问题，随后进行了磁共振血管造影，结果显示右颈动脉、腹主动脉和右髂动脉受累，大动脉炎的诊断得以证实。给予泼尼松龙治疗后，她的发热消退，ESR、CRP和血红蛋白恢复正常。
对于长期低热、贫血且ESR显著升高的年轻女性患者，在鉴别诊断时应考虑大动脉炎，以预防该疾病的晚期并发症。
