Yingchoncharoen Pitchaporn, Eshak Nouran, Thongpiya Jerapas, Benjanuwattra Juthipong, Abdelnabi Mahmoud
Internal Medicine Department Texas Tech University Health Science Center Lubbock Texas USA.
Clin Case Rep. 2023 Oct 4;11(10):e8002. doi: 10.1002/ccr3.8002. eCollection 2023 Oct.
In suspected cases of systemic vasculitis, imaging studies should include the pulmonary artery. This is a rare case of Takayasu arteritis with a large pulmonary aneurysm. Medical management is the first line and vascular intervention if fails prior.
Takayasu arteritis (TA) should be suspected in young women presented with hypertension, carotidynia, and claudications. Pulmonary artery involvement is frequent, occurring in 20%-50% of patients with TA. However, this case highlights the rare presentation of TA with a large pulmonary aneurysm and minimal aortic involvement. Medical management including immunosuppressive agents and biological therapies remains an important role, with vascular intervention remains as an option if medical therapy failed.
在疑似系统性血管炎的病例中，影像学检查应包括肺动脉。这是一例罕见的伴有巨大肺动脉瘤的高安动脉炎病例。药物治疗是一线治疗方法，若先前治疗失败则进行血管介入治疗。
对于出现高血压、颈动脉痛和跛行的年轻女性，应怀疑高安动脉炎（TA）。肺动脉受累很常见，在TA患者中发生率为20% - 50%。然而，本病例突出了TA伴有巨大肺动脉瘤且主动脉受累轻微的罕见表现。包括免疫抑制剂和生物疗法在内的药物治疗仍然发挥着重要作用，若药物治疗失败，血管介入治疗仍是一种选择。
