Takayasu Arteritis: A 4-year-old girl presenting with Heart Failure - Case Report and Literature Review

Yıl 2014, Cilt: 6 , - , 16.06.2014

Amit Das Nitu Mundhra Chaitali Patra Shatanik Sarkar , Nilanjan Ghosh Shabarna Roy

Öz

Takayasu arteritis (TA) is a chronic idiopathic large vessel vasculitis. TA during childhood remains a diagnostic challange due to the non-specific symptoms. Here we report a four year- old girl presenting with features of heart failure and later diagnosed as a case of childhood TA along with associated myocarditis. Though TA is rare in children, it must be considered in the differential diagnoses of children who present with heart failure.

Anahtar Kelimeler

Takayasu arteritis , vasculitis , heart failure

Kaynakça

• Morales E, Pineda C, Martinez-Lavin M. Takayasu’s arteritis in children. J Rheumatol 1991; 18: 1081-4.
• Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, et al. Takayasu arteritis. Ann Intern Med 1994; 120: 919-29.
• Ozen S, Bakkaloglu A, Dusunsel R, Soylemezoglu O, Ozaltin F, Poyrazoglu H, et al. Childhood vasculitides in Turkey: a nationwide survey. Clin Rheumatol 2007; 26: 196-200.
• Cakar N, Yalcinkaya F, Duzova A, Caliskan S, Sirin A, Oner A, et al. Takayasu arteritis in children. J Rheumatol 2008; 35: 913-9.
• Ozen S, Pistorio A, Iusan SM, Bakkaloglu A, Herlin T, Brik R, et al: Paediatric Rheumatology International Trials Organisation (PRINTO). EULAR/PRINTO/PRES criteria for Henoch-Schönlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: Final classification criteria. Ann Rheum Dis 2010; 69: 798-806.
• Brunner J, Feldman BM, Tyrrell PN, Kuemmerle-Deschner JB, Zimmerhackl LB, Gassner I, et al. Takayasu arteritis in children and adolescents. Rheumatology (Oxford) 2010; 49: 1806-14.
• Dedeoglu F, Sundel RP. Vasculitis in Children. Pediatr Clin N Am 2005; 52: 547Gornik HL, Creager MA. Aortitis. Circulation 2008; 117: 3039-51.
• SS Kothari. Takayasu’s arteritis in children–a review. Images Paediatr Cardiol 2001; 3: 4–23.
• Ardoin SP, Fels E. Takayasu arteritis. In: Behrman RE, Kliegman RM, Jenson HB, Stanton BF, editors. Nelson’s Textbook of Pediatrics. 18th ed. Philadelphia: Saunders; 2008. p. 871.
• Das D. A case of unusual presentation of Takayasu's arteritis. Indian J Ophthalmol. 2010;58:148-50.
• Bulut S, Al Hashimi HMM, Verheugt FWA. Left main stem disease in a patient with Takayasu’s arteritis. Netherlands Heart J. 2007;15(7/8):260-2.
• Weiss PF, Corao DA, Pollock AN, Finkel TH, Smith SE. Takayasu arteritis presenting as cerebral aneurysms in an 18 month old: A case report. Pediatr Rheumatol. 2008;31:6(4).
• Jain S, Kuman S. Gaunguty NK, et al. Current status of Takayasu Arteritis in India. Int. J. Cardiol. 1996;54: S111-16.
• Bikakcigil M, Aksu K, Kamali S, Ozbalkan Z, Ates A, Karadag O, et al. Takayasu's arteritis in Turkey - clinical and angiographic features of 248 patients. Clin Exp Rheumatol. 2009;27:59-64.
• Talwar KK, Kumar K, Chopra P, Sharma S, Shrivastava S, Wasir HS, et al. Cardiac involvement in nonspecific aortoarteritis (Takayasu's arteritis). Am Heart J 1991; 122: 1666-70.
• Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: a review. J Clin Pathol 2002; 55: 481-486.
• Ozen S, Duzova A, Bakkaloglu A, Bilginer Y, Cil BE, Demircin M, et al. Takayasu arteritis in children: preliminary experience with cyclophosphamide induction and corticosteroids followed by methotrexate. J Pediatr 2007; 150: 72-6. Miyata T, Sato O, Koyama H, Shigematsu H, Tada Y. Long-term survival after surgical treatment of patients with Takayasu’s arteritis. Circulation 2003; 108: 1474-80.