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一名患有学习障碍的老年男性因晕厥和炎症标志物升高而表现为高安动脉炎的罕见病例。

A Rare Case of Takayasu Arteritis Presenting With Syncope and Elevated Inflammatory Markers in an Elderly Male With Learning Disability.

作者信息

Ahamed Fayyas, Abdulmajeed Mohamed, Haider Ali, William Julee, Lee Kenneth

机构信息

General Internal Medicine, Luton And Dunstable University Hospital, Luton, GBR.

General Internal Medicine, Luton and Dunstable University Hospital, Luton, GBR.

出版信息

Cureus. 2025 Jul 5;17(7):e87320. doi: 10.7759/cureus.87320. eCollection 2025 Jul.

Abstract

Takayasu arteritis (TAK) is a rare large-vessel vasculitis predominantly affecting young females. We present a unique case of a 77-year-old male with learning disability, presenting with constitutional symptoms, syncope, and elevated inflammatory markers. Imaging revealed circumferential thickening of the aorta and arch vessels, consistent with TAK. This case underscores the importance of considering large-vessel vasculitis even in elderly patients, as well as the diagnostic challenges in individuals with cognitive impairment. The patient responded well to corticosteroid therapy.

摘要

高安动脉炎(TAK)是一种罕见的大血管血管炎,主要影响年轻女性。我们报告了一例独特的病例,一名77岁有学习障碍的男性,出现全身症状、晕厥和炎症指标升高。影像学检查显示主动脉和弓部血管环形增厚,符合高安动脉炎表现。该病例强调了即使在老年患者中也需考虑大血管血管炎的重要性,以及认知障碍患者的诊断挑战。患者对皮质类固醇治疗反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ab/12319847/1056b17232cb/cureus-0017-00000087320-i01.jpg

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