Duque Neves Bernardo, Raimundo Anabela, Appleton Figueira Tomás, Pereira Machado Francisco, Roquette José, Sá João
Departamento de Medicina Interna e Medicina Intensiva, Hospital da Luz, Lisboa, Portugal.
Departamento de Medicina Interna e Medicina Intensiva, Hospital da Luz, Lisboa, Portugal.
Rev Port Cardiol. 2015 Mar;34(3):215.e1-4. doi: 10.1016/j.repc.2014.11.002. Epub 2015 Feb 27.
Takayasu arteritis is a large vessel vasculitis with various clinical presentations depending on the territories affected. We report the case of a 47-year-old woman who was diagnosed with Takayasu arteritis following rapid progression of coronary disease. The condition evolved rapidly under corticosteroid therapy, with formation of new arterial stenoses within the carotid and splanchnic circulations. Disease remission was achieved with cyclophosphamide pulses and percutaneous angioplasty of the affected vessels was performed.
高安动脉炎是一种大血管血管炎,根据受累部位不同有多种临床表现。我们报告一例47岁女性病例,该患者在冠心病快速进展后被诊断为高安动脉炎。在皮质类固醇治疗下病情迅速发展,在颈动脉和内脏循环中形成了新的动脉狭窄。通过环磷酰胺脉冲治疗实现了疾病缓解,并对受累血管进行了经皮血管成形术。