Arterite de Takayasu na infância e na adolescência: relato de três casos

Nascif, Ana Karina Soares; Lemos, Marcelo Delboni; Oliveira, Norma Suely; Perim, Paula Campos; Cordeiro, Ana; Quintino, Mariana

doi:10.1590/s0482-50042011000500012

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…O início da sintomatologia clínica em crianças, frequentemente, é inespecífico, possibilitando uma evolução insidiosa e diagnóstico médico tardio (NASCIF, 2011). A cefaleia é um dos primeiros sintomas, sendo a hipertensão arterial o mais frequente, seguido por problemas neurológicos (cefaleia, confusão); renais (proteinúria); artralgia, mialgia, perda de peso (NASCIF et al, 2011;CLEMENTE et al, 2016;FENG et al, 2017).…”

Section: Resultados E Discussõesunclassified

Cuidado De Enfermagem Ao Paciente Idoso Com Iam No Setor De Unidade De Terapia Intensiva: Uma Revisão Da Literatura

Serejo¹,

Furtado²,

Brito³

et al. 2019

Diário Da Teoria E Prática Na Enfermagem

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Section: Resultados E Discussõesunclassified

Cuidado De Enfermagem Ao Paciente Idoso Com Iam No Setor De Unidade De Terapia Intensiva: Uma Revisão Da Literatura

Serejo¹,

Furtado²,

Brito³

et al. 2019

Diário Da Teoria E Prática Na Enfermagem

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“…Conventional angiography has been traditionally considered the gold standard for the diagnosis of TA. [10] However, multidetector CT angiography (CTA) is emerging as a reliable tool in non-invasively depicting both luminal and mural lesions in the aorta and its main branches, which may facilitate the detection of vasculitis during the early phase of TA. Imaging studies were not carried out in our patient.…”

Section: Discussionmentioning

confidence: 99%

Death due to severe occlusion of the subclavian artery; a case report

Lakmali¹,

Perera²,

Kumara³

et al. 2019

Medico-Legal J SL

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Takayasu arteritis is a rare, large vessel disease. It commonly affects aorta and its main branches. The characteristic features are absent or diminished pulse, vascular bruits, hypertension, chest pain, retinopathy, and dyspnoea. Some studies have shown that there is an association between hypothyroidism and Takayasu arteritis. We report a death of a 56-year-old female with suggestive symptoms of Takayasu Arteritis. She was diagnosed to have diabetes mellitus and ischaemic heart disease for 10 years. Lately, she was suffering from upper and lower limb pain. Three days before she died she developed severe limb pain and swelling of the body including upper and lower limbs. She was admitted to the tertiary care hospital and died on the following day. The electrocardiography showed subtle ischemic changes. Laboratory investigations were performed due to body swelling which confirmed hypothyroidism. At autopsy, there were severe occlusions of the left subclavian artery and severe stenosis of all coronary arteries. Histological examinations were performed since these findings are commonly seen in Takayasu arteritis. However, microscopy of Haematoxylin and Eosin stains revealed the occlusions in the left subclavian artery as atherosclerotic. Cause of death was given as atherosclerotic heart disease.

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“…Corticosteroids are still the mainstay of treatment [9]. In addition, other immunosuppressive agents such as methotrexate, azathiopurine and cyclophosphamide are other therapeutic options [10]. In about one-fourth of the treated patients, remission was not achieved but relapses observed.…”

Section: Discussionmentioning

confidence: 99%

Atypical presentation of Takayasu’s arteritis in an adolescent

Binnetoglu¹,

Aydıner²,

Barış³

et al. 2015

MMJ

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Takayasu`s arteritis is rarely seen in childhood. In addition, symptoms are nonspecific and diagnostic laboratory marker is unavailable. We hereby described an adolescent with an atypical presentation of Takayasu`s arteritis. A 15-year-old girl was admitted to our clinic with the symptoms of weight loss, fever, back pain, and malaise since 2 months. Physical examination ended with normal vital signs, centiles and no other pathological findings. Laboratory findings showed increased acute phase reactants. Irregularities in the aortic wall and luminal narrowing of aorta were detected in magnetic resonance angiography. In conclusion, children with Takayasu`s arteritis present with nonspecific symptoms. No laboratory test is diagnostic, whereas abnormalities in large vessels in radiology are specific for the disease. Mainstay of treatment is systemic steroids and immunosuppressants and outcome is worse in children than in adults.

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Arterite de Takayasu na infância e na adolescência: relato de três casos

Cited by 6 publications

References 7 publications

Cuidado De Enfermagem Ao Paciente Idoso Com Iam No Setor De Unidade De Terapia Intensiva: Uma Revisão Da Literatura

Cuidado De Enfermagem Ao Paciente Idoso Com Iam No Setor De Unidade De Terapia Intensiva: Uma Revisão Da Literatura

Death due to severe occlusion of the subclavian artery; a case report

Atypical presentation of Takayasu’s arteritis in an adolescent

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