Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal.
Department of Nephrology, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Apr 15;60(248):393-395. doi: 10.31729/jnma.7443.
Takayasu arteritis is a rare progressive chronic granular inflammation of the vessels that mainly affects the aorta and its branches. It is widely distributed in the world population and mainly involves young Asian women, manifesting as a systemic illness with myriads of cardiovascular signs and symptoms. The current case focuses on a young girl who had shoulder pain and weakness as the only manifestation of underlying Takayasu arteritis. Early clinical identification of the disease and control with disease-modifying anti-rheumatic drugs could improve the outcome and prevent devastating sequelae.
arteritis; inflammation; shoulder pain; takayasu arteritis.
摘要:Takayasu 动脉炎是一种罕见的累及主要动脉及其分支的慢性、进行性、非特异性血管炎。该病在世界范围内广泛分布,主要影响年轻的亚裔女性,表现为一种全身系统性疾病,有多种心血管表现和症状。本病例重点关注的是一位年轻女性,她仅以肩部疼痛和无力为 Takayasu 动脉炎的潜在表现。早期对疾病进行临床识别并使用改善病情的抗风湿药物进行控制,可改善预后并预防严重的后遗症。
关键词:动脉炎;炎症;肩部疼痛;Takayasu 动脉炎