Rheumatology Research Center, Tehran University of Medical Sciences, Tehran.
Department of Rheumatology, Uludag University, Bursa.
Reumatismo. 2022 Dec 29;74(3). doi: 10.4081/reumatismo.2022.1487.
Takayasu arteritis (TA) is an extremely uncommon vasculitis that primarily affects the aorta and its branches. Due to the genetic and ethnicity effect, a diverse array of TA clinical manifestations has been reported worldwide. The purpose of the present study was to compare the clinicodemographic characteristics and pattern of vascular involvement of Iranian and Turkish TA patients. This study was a retrospective, cross-sectional investigation of 126 TA patients in Iran and Turkey. All of the variables analyzed were extracted from historical medical records. In 126 TA patients, the ratio of females to males was 8.6:1, and the average age at onset of disease was 30.5±11.1 years. Fatigue (49.2%) and a weak or absent pulse (79.4%) were the most prevalent symptoms and signs, respectively. The most prevalent angiographic classifications were types V and I in Iranian patients (41.09%) and type I in the Turkish population (47.7%) The left subclavian artery was the vessel most frequently affected by TA (66.6%). Our findings indicated that there were no significant differences between the two countries in terms of clinicodemographic characteristics or vascular involvement. Some clinical manifestations, such as claudication, were more prevalent in the Turkish population due to a higher incidence of occlusive lesions in the right subclavian artery.
Takayasu 动脉炎(TA)是一种极罕见的血管炎,主要影响主动脉及其分支。由于遗传和种族的影响,全球范围内报告了多种多样的 TA 临床表现。本研究的目的是比较伊朗和土耳其 TA 患者的临床特征和血管受累模式。本研究是对伊朗和土耳其的 126 例 TA 患者进行的回顾性、横断面研究。所有分析的变量均从历史病历中提取。在 126 例 TA 患者中,女性与男性的比例为 8.6:1,疾病发病的平均年龄为 30.5±11.1 岁。疲劳(49.2%)和弱或无脉(79.4%)是最常见的症状和体征。在伊朗患者中,最常见的血管造影分类为 V 型和 I 型(41.09%),而在土耳其人群中为 I 型(47.7%)。左锁骨下动脉是最常受 TA 影响的血管(66.6%)。我们的研究结果表明,两国在临床特征或血管受累方面没有显著差异。由于右锁骨下动脉闭塞性病变的发生率较高,一些临床表现,如跛行,在土耳其人群中更为常见。