A Takayasu's Arteritis Case with Unilateral Digital Clubbing

Abstract

Takayasu arteriti genellikle yaşamın ikinci ve üçüncü on yılında genç kadınları etkileyen bir büyük damar vaskülitidir. Daha az sıklıkta çocukluk çağında da görülebilir. Bu yazıda tek taraflı çomak parmağı olan Takayasu arteritli 17 yaşındaki bir erkek olgu sunuldu. Hastanın sol üst ve alt ekstremitelerinde bir aydan beri devam eden kas zayıflığı ve miyaljisi vardı. Hipertansiyon ve abdominal üfürüm yoktu. Dijital subtraksiyon anjiyografide sol subklaviyan arterde total tıkanma ve sağ renal arterde ciddi daralma olduğu görüldü. Çomak parmak ve Takayasu arteriti birlikteliği yaygın değildir. Bilgilerimize göre bugüne kadar yalnız iki olgunun sunumu yapılmıştır.Anahtar sözcükler: Çomak parmak; dijital subtraksiyon anjiyografi; hipertansiyon; Takayasu arteriti.Takayasu arteritis is a large vessel vasculitis that usually affects young female patients during the second and third decades of life. Less commonly, it can also be seen childhood. In this article, we describe a case of Takayasu arteritis in a 17 year-old-boy who presented with unilateral digital clubbing. The patient had also a one-month history of muscle weakness and myalgia in the left upper and lower extremity. There was no hypertension or abdominal bruit. Digital subtraction angiography revealed a total occlusion of the left subclavian artery and a severe narrowing of the right renal artery. The association of digital clubbing and Takayasuʼs arteritis is not common. To our knowledge, only two cases have been reported to date.

A rare presentation of Takayasu’s arteritis- unilateral finger clubbing – case report

“…In our patient, the initial clue to the diagnosis was unilateral finger clubbing. There are only three similar cases reported in the literature [ 3 – 5 ].…”

“…We present a case of Takayasu’s arteritis, presenting with constitutional symptoms and unilateral finger clubbing. Only three similar cases have been reported in the literature [ 3 – 5 ].…”

Takayasu’s Arteritis: Rare Cause of Hypertension in Children

“…It was diffi cult to control hypertension in this our patient, he received Amlodipine 5mg/day and Enalapril 0.08mg/kg/day at discharge. In a Turkish survey, one patient with pulmonary artery stenosis died within the fi rst 3 years and two patients underwent nephrectomy 13 . In South Africa, the mortality rate was 22.5%; 7 of 31 patients died because of hypertension or complications after kidney transplantation.…”

Takayasu Arteritis Initially Mimicking Infective Endocarditis

“…In TA with thoracic or abdominal involvement, although murmur can be present at physical examination, the pulse difference may be absent. 3 – 4 Therefore, TA can be misdiagnosed as infective endocarditis because of murmur and fever associated with the active phase of the disease.…”