A Rare Presentation of Type-III Takayasu’s Arteritis in a 20-Year-Old Female

Abstract

Takayasu’s arteritis is a rare chronic granulomatous vasculitis that predominantly affects the aorta and its branches. It is estimated to affect 2.6/million/annum, predominantly women in the second or third decade of their lives. This case report describes the case of a 21-year-old female, who initially only had low-grade fever and acrodynia, which over a few months, progressed to arm and leg claudication, weight loss, nausea, headache, and dizziness. A year later, the patient experienced impalpable radial pulses bilaterally, and her CT angiogram revealed multi-level arterial stenosis. A diagnosis of Takayasu’s arteritis was made and the patient was started on steroids and methotrexate. A consult was made with vascular surgery but no intervention was deemed necessary and the patient responded well to the medical treatment given. Though Takayasu’s arteritis is a very rare disease, a detailed history, clinical examination, and investigations can help with early diagnosis.

Diarrhea as the Initial Presentation in a Patient With HIV Diagnosed With Hodgkin’s Lymphoma

“…We discuss a 39-year-old woman with HIV who presented with chronic diarrhea and was ultimately diagnosed with classical HL from cervical LN and bone marrow biopsy. The cause of her diarrhea could not be ascertained, however, it is possible that her diagnosis of Hodgkin's lymphoma contributed to her symptoms given prior reports of Hodgkin's lymphoma presenting with gastrointestinal symptoms [11,12]. While the most common presentation for HL is painless lymphadenopathy, her presentation and hospital course were complex, delaying the diagnosis of lymphoma.…”