du Toit D F, Warren B, McCormich M, Laker L
S Afr Med J. 1985 Jun 1;67(22):895-7.
Three patients with Takayasu's disease are described. In 2 cases aortography demonstrated an occlusion of the great vessels at the origin of the arch of the aorta. In 1 patient there was concomitant aneurysmal dilatation of the brachiocephalic trunk. Common and internal carotid artery stenosis occurred in 1 patient and was associated with hemiplegia and blindness. All 3 patients had constitutional symptoms and signs of the disease as well as markedly elevated erythrocyte sedimentation rates; 2 patients had moderate clinical responses to steroid administration in the short term and 1 developed bilateral calf vein thrombosis, which responded satisfactorily to conservative management.
本文描述了3例大动脉炎患者。其中2例经主动脉造影显示主动脉弓起始处大血管闭塞。1例患者同时合并头臂干动脉瘤样扩张。1例患者出现颈总动脉和颈内动脉狭窄,并伴有偏瘫和失明。所有3例患者均有该病的全身症状和体征,红细胞沉降率显著升高;2例患者短期内对类固醇治疗有中度临床反应,1例发生双侧小腿静脉血栓形成,经保守治疗后效果满意。