Gormezano Natali W S, Santos Maria Carolina Dos, Okuda Eunice Mitiko, Catani Liane Hulle, Sacchetti Silvana B
Rheumatology and Cardiology Services, Department of Pediatrics, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Rheumatology and Cardiology Services, Department of Pediatrics, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Rev Bras Reumatol Engl Ed. 2016 Mar-Apr;56(2):178-80. doi: 10.1016/j.rbre.2014.09.003. Epub 2015 Feb 20.
Takayasu's arteritis (TA) and rheumatic fever are diseases that can start with cardiac features, making the diagnosis difficult. There are reports of association of RF with Takayasu's arteritis beginning with cardiac involvement in pediatric patients. The aim of this study is to report the possible association of RF and TA in patients with cardiac abnormalities. We describe the case of an adolescent initially diagnosed with RF who progressed with changes that allowed making the diagnosis of TA. TA and RF are two important causes of valve involvement that may have systemic manifestations.
高安动脉炎（TA）和风湿热是可始于心脏症状的疾病，这使得诊断困难。有报告称，在儿科患者中，类风湿因子（RF）与以心脏受累为起始的高安动脉炎有关联。本研究的目的是报告心脏异常患者中RF与TA可能存在的关联。我们描述了一名青少年的病例，该患者最初被诊断为RF，之后病情进展出现了一些变化，从而得以诊断为TA。TA和RF是瓣膜受累的两个重要原因，可能伴有全身表现。
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