Abstract
This clinical case presents a 23-year-old female diagnosed with Takayasu arteritis showing non-palpable pulses in both upper extremities and elevated diastolic blood pressure in the lower limbs. Angiographic findings confirmed bilateral subclavian artery occlusion distally, with narrowing of the right vertebral artery—an unusual localization pattern. The patient exhibited symptoms of Raynaud-like coldness and numbness in the hands, with no signs of systemic collagen diseases. Diagnostic interpretation highlights an inverse coarctation-like presentation, making the case distinct. Differential vascular involvement, normal heart and eye exams, and intact lower extremity pulses support the diagnosis.
Keywords
Takayasu arteritis pulse deficit subclavian artery vertebral narrowing aortic arch vascular inflammation
References
- Friedberg: Diseases of the Heart, 1966
- Hust & Louge: The Heart, McGraw-Hill, 1970
- Wood: Diseases of the Heart and Circulation, 1968
- Cecil-Loeb: Textbook of Medicine, 1967
- Judge et al.: Takayasu’s Arteritis – Aortic Arch Syndrome, Am. J. Med., 1962
- Nakao et al.: Circulation, 1967
- Nasu: Pathology of Pulseless Disease, Angiology, 1963
- Strachan: Natural History of Takayasu’s Arteriopathy, Quart. J. Med., 1964
- Vinijchaikul: Primary Arteritis of Aorta, Am. J. Med., 1967
- Sökmen S.: Pulseless Disease in Turkey, Am. Heart J., 1958
- Sökmen et al.: A.U. Tıp Fak. Mec., 1965
- Erman et al.: Takayasu Sendromu, A.U. Tıp Fak. Mec., 1962
Abstract
Bu klinik çalışmada, her iki üst ekstremitede nabız alınamayan ve alt ekstremitelerde diyastolik arter basıncı yüksek bulunan 23 yaşındaki kadın hastada Takayasu arteriti teşhis edilmiştir. Yapılan aortografi ile her iki subklaviya arterin distalden tıkandığı ve sağ vertebral arterin sol tarafa göre daha dar bir lümene sahip olduğu saptanmıştır. Hastada Raynaud benzeri bulgular, sistemik kollajen doku hastalıklarıyla ilgili hiçbir işaret olmaksızın gözlenmiştir. Lokalizasyonun klasik Takayasu olgularından farklı olması bu vakayı dikkat çekici hâle getirmiştir. Tanıda, ters koarktasyon benzeri tablo değerlendirilmiş ve alt ekstremite nabızları ile arter basıncının korunmuş olması ayırt edici bulunmuştur.
References
- Friedberg: Diseases of the Heart, 1966
- Hust & Louge: The Heart, McGraw-Hill, 1970
- Wood: Diseases of the Heart and Circulation, 1968
- Cecil-Loeb: Textbook of Medicine, 1967
- Judge et al.: Takayasu’s Arteritis – Aortic Arch Syndrome, Am. J. Med., 1962
- Nakao et al.: Circulation, 1967
- Nasu: Pathology of Pulseless Disease, Angiology, 1963
- Strachan: Natural History of Takayasu’s Arteriopathy, Quart. J. Med., 1964
- Vinijchaikul: Primary Arteritis of Aorta, Am. J. Med., 1967
- Sökmen S.: Pulseless Disease in Turkey, Am. Heart J., 1958
- Sökmen et al.: A.U. Tıp Fak. Mec., 1965
- Erman et al.: Takayasu Sendromu, A.U. Tıp Fak. Mec., 1962
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Articles |
| Authors | |
| Publication Date | December 31, 1971 |
| Published in Issue | Year 1971 Volume: 24 Issue: 6 |