Department of Internal Medicine, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
Nepal Police Hospital, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Dec 1;60(256):1041-1044. doi: 10.31729/jnma.7685.
Takayasu's arteritis is a chronic vasculitis of medium and large vessels. The most involved vessel is the aorta and its major branches. The disease is primarily seen in young women. The described incidence of the disease ranges from 0.3 to 3.3 million per year. The vessels are characterized by mononuclear infiltration and granulomatous inflammation of vascular media, which leads to arterial wall thickening with stenosis, occlusion, and aneurysmal dilation. Here we present a case of Takayasu's arteritis in a 26-year-old woman who presented with syncope and dizziness with thickened walls of the arch of the aorta and its branches in Magnetic Resonance Imaging angiogram finding. Women of Japanese descent are not the only ones who can develop Takayasu's arteritis; it can affect anyone. Therefore, early diagnosis and treatment are warranted. When the disease is dormant, the outcome seems favourable.
aortitis syndrome; arteritis; case reports; pulseless disease; young female arteritis.
中文译文:未标注:大动脉炎是一种中大型血管的慢性血管炎。最常受累的血管是主动脉及其主要分支。这种疾病主要发生在年轻女性中。据报道,该病的发病率为每年 0.3 至 330 万例。血管的特征是单核细胞浸润和血管中膜的肉芽肿性炎症,这导致动脉壁增厚、狭窄、闭塞和动脉瘤样扩张。在这里,我们报告了一例 26 岁女性大动脉炎病例,该患者出现晕厥和头晕,磁共振血管造影显示升主动脉及其分支的管壁增厚。并非只有日本裔女性会患上大动脉炎;任何人都可能患上这种疾病。因此,需要进行早期诊断和治疗。当疾病处于休眠状态时,预后似乎良好。
巨细胞动脉炎;动脉炎;病例报告;无脉病;年轻女性动脉炎。