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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


HERNANDEZ-DE MEZERVILLE, Viviana; BRAVO-ROJAS, Carlos; FIEDLER-VELASQUEZ, Eduardo  and  GOURZONG-TAYLOR, Charles. Arteritis de Takayasu. Acta méd. costarric [online]. 2007, vol.49, n.3, pp.167-169. ISSN 0001-6002.

Abstract We report the case of a woman with Takayasu יs Arteritis (AT) who had decreased arterial pulses in the right arm along with arterial hypertension. AT is a chronic vasculitis of unknown etiology involving mainly the aorta and its branches. It is most prevalent in women of reproductive age but it can occur at any age. The clinical presentation is variable and the symptoms are ischemic secondary to stenotic lesions or thrombus formation in the arterial tree. These lesions can lead to secondary hypertension, retinopathy, cerebrovascular disease, cardiopathy and premature death. The diagnosis of AT should be suspected in young women with diminished or absent peripheral pulses, discrepancies in blood pressure, and arterial bruits. It is confirmed with by angiogram. Therapeutic options include glucocorticoids, inmunosupprant agents and treatment of its complications.

Keywords : Takayasu; aortoarteritis; vasculitis.

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