Al-Kinani Tahseen Ali, Al-Yacopy Ali Akeel, Alhatemi Ahmed Qasim Mohammed, Hashim Hashim Talib, Abdulhussain Rand, Hashim Ali Talib
Coronary Care Unit Al Nasiriyah Heart Hospital Thi Qar Iraq.
Internal Medicine Al Nasiriyah Teaching Hospital Thi Qar Iraq.
Clin Case Rep. 2024 Jun 3;12(6):e9051. doi: 10.1002/ccr3.9051. eCollection 2024 Jun.
Timely recognition of atypical Takayasu arteritis is crucial. Unusual presentations, such as pericardial effusion, can complicate diagnosis. CT angiogram aids in precise diagnosis, guiding targeted immunosuppressive therapy. Multidisciplinary collaboration is vital for comprehensive management, improving patient outcomes in this challenging condition.
This case study highlights the diagnostic challenges posed by atypical presentations of Takayasu arteritis (TA), focusing on a 42-year-old male presenting with pericardial effusion. Despite inconclusive initial investigations, a CT angiogram revealed large vessel vasculitis, confirming TA. Management with immunosuppressive therapy led to clinical improvement. This case emphasize the importance of recognizing unusual manifestations of TA for timely diagnosis and appropriate treatment, emphasizing the role of multidisciplinary collaboration in optimizing patient outcomes.
及时识别非典型大动脉炎至关重要。不寻常的表现，如心包积液，会使诊断复杂化。CT血管造影有助于精确诊断，指导针对性的免疫抑制治疗。多学科协作对于全面管理至关重要，可改善这种具有挑战性疾病的患者预后。
本病例研究突出了大动脉炎（TA）非典型表现所带来的诊断挑战，重点关注一名出现心包积液的42岁男性。尽管初始检查结果不明确，但CT血管造影显示大血管血管炎，确诊为TA。免疫抑制治疗使病情得到临床改善。本病例强调了识别TA不寻常表现对于及时诊断和恰当治疗的重要性，凸显了多学科协作在优化患者预后方面的作用。
