Indonesian Journal of Rheumatology
Vol. 10 No. 2 (2018): Indonesian Journal of Rheumatology

Takayasu Arteritis : Diagnostic Approach

Malikul Chair (Rheumatology Division, Department of Internal Medicine, Faculty of Medicine University Indonesia, Dr.Cipto Mangunkusumo General Hospital)
Bambang Setyohadi (Rheumatology Division, Department of Internal Medicine, Faculty of Medicine University Indonesia, Dr.Cipto Mangunkusumo General Hospital)
RM Suryo Anggoro (Rheumatology Division, Department of Internal Medicine, Faculty of Medicine University Indonesia, Dr.Cipto Mangunkusumo General Hospital)
Anna Ariane (Rheumatology Division, Department of Internal Medicine, Faculty of Medicine University Indonesia, Dr.Cipto Mangunkusumo General Hospital)



Article Info

Publish Date
12 Dec 2018

Abstract

Takayasu arteritis (TA) is a systemic, inflammatory large-vessel vasculitis of unknown etiology that most commonly affects women of childbearing age. It involves the aorta and its major branches. The main abnormalities found in this disease are vascular ischemic signs/symptoms including claudication, carotid bruit, weak distal pulsation. Hereby we report a case a 25-year-old unmarried female complained a recurrent left arm pain, worsening when she did her work as a doctor. Formerly, she had experienced intermittent bilateral leg pain for four years with strange sound coming from inside her neck. She was hospitalized half a year ago due to acute limb ischemic and she was diagnosed with TA after the imaging showed multiple stenosis in large arteries including bilateral neck area, shoulder area, abdominal aorta, and right renal artery. The inferior right extremity biopsy showed the histologist result of erythema nodosum appearance. Cuantitative C reactive protein (CRP): 19,8, erythrocyte sedimen rate (ESR): 53. The others laboratory data to exclude differential diagnosis are unremarkable. This report demonstrates the importance of diagnostic approach in rare case of Takayasu’s arteritis patients. Keyword: Diagnostic; Vasculitis, Takayasu Arteritis

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Journal Info

Abbrev

ijr

Publisher

Subject

Medicine & Pharmacology

Description

Indonesian Journal of Rheumatology is a peer-reviewed open access journal on rheumatic diseases and connective tissue disorders. This is an official journal of Indonesian Rheumatology Associantion (IRA) and published twice a year since 2009. Our mission is to encourage the development of scientific ...