Takayasu arteritis (aortic arch syndrome) - Pathology of blood vessels / Vasculitis
Dr.G.Bhanu Prakash
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Takayasu arteritis (aortic arch syndrome) - Pathology of blood vessels / Vasculitis
24 654 просмотра · 6 лет назад
Dr.G.Bhanu Prakash
1,55 млн подписчиков
24 654 просмотра · 6 лет назад
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Takayasu arteritis (aortic arch syndrome)
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Definition: granulomatous inflammation of the aorta and its major branches, resulting in stenosis of involved blood vessels and subsequent vascular symptoms
Epidemiology
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Peak incidence: 15–45 years of age
Asian heritage
male to female ratio (3:1)
Clinical features
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Fever, malaise, arthralgia
Vascular symptoms
Decreased bilateral brachial and radial pulses → “pulseless disease”
Syncope, angina pectoris
Impaired vision
Movement-induced muscular pain in one or more limbs
Raynaud phenomenon
Bilateral carotid bruits
Hypertension
Skin manifestations
Erythema nodosum
Urticaria
Diagnostics
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Laboratory findings: ↑ ESR
Angiography (gold standard): detects vascular stenosis
Biopsy of affected vessel: granulomatous thickening of aortic arch; plasma cells and lymphocytes in media and adventitia; vascular fibrosis
Treatment
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Corticosteroids; if necessary, MTX or cyclophosphamide may be administered
Surgical intervention (e.g., bypass) may be required if critical stenosis of the aortic arch or its branches occurs.
Antihypertensive treatment
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