Eke F, Balfe J W, Hardy B E
Arch Dis Child. 1984 Sep;59(9):877-83. doi: 10.1136/adc.59.9.877.
Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differential diagnosis of hypertension in infancy and childhood. Renal autotransplantation was performed in all three patients with good results. Early renal autotransplantation may reduce the morbidity associated with this disease.
三名男孩接受了主动脉及大血管动脉炎和双侧肾动脉狭窄的治疗。一名6个月大的男孩就诊时出现生长发育迟缓、多汗和呕吐症状，随后被诊断为高血压和心力衰竭。另外两名年龄较大的男孩（7岁和14岁）表现为无症状性高血压。这三名患者的临床和血管造影结果表明，该疾病可能是高安动脉炎，在婴幼儿和儿童高血压的鉴别诊断中应考虑到这种疾病。三名患者均接受了自体肾移植，效果良好。早期自体肾移植可能会降低与该疾病相关的发病率。
