Takayasu Arteritis: Consideration of Pulmonary Involvement

Nakajima, Nobuyuki

doi:10.3400/avd.avdedit00107

Cited by 11 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…TA is a large vessel vasculitis most commonly affecting the subclavian and carotid arteries as well as the aorta 9 . However, any large vessel may be affected, including the PA. Involvement of the PA may lead to the development of pulmonary nodules, pleural effusions, aneurysms, thromboses, perfusion defects and pulmonary hypertension, and presents with nonspecific chest pain, dyspnea, cough, or hemoptysis secondary to pulmonary hemorrhage 10‐13 . Although not common, isolated PA involvement has been reported 10,12 .…”

Section: Discussionmentioning

confidence: 99%

“…9 However, any large vessel may be affected, including the PA. Involvement of the PA may lead to the development of pulmonary nodules, pleural effusions, aneurysms, thromboses, perfusion defects and pulmonary hypertension, and presents with nonspecific chest pain, dyspnea, cough, or hemoptysis secondary to pulmonary hemorrhage. [10][11][12][13] Although not common, isolated PA involvement has been reported. 10,12 Consistent with this patient's presentation, pleural effusions have been described as the initial presentation of TA given the close proximity of the left PA to the parietal pleura.…”

Section: Case Progressionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic chest pain: Where is the pathology?

Martinez-Garri

Haver

Boyer

et al. 2020

Pediatric Pulmonology

View full text Add to dashboard Cite

Hitchcock) was founded in 1983. Physicians and trainees discuss and debate active cases involving pediatric patients with respiratory disease. The following dynamic case analysis based upon presentations at the NEPPC takes the reader through an iterative, experiential learning approach while promoting active learning. Challenge points allow for learner reflection and built in podcasts enable the reader to hear the consortium's deliberations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Case Progressionmentioning

confidence: 99%

Chronic chest pain: Where is the pathology?

Martinez-Garri

Haver

Boyer

et al. 2020

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…56,57,60 The development of PH can occur in TA but its incidence is about 12-13%. 58 Variable disease progression and nonspecific signs and symptoms often lead to a delayed diagnosis. 56 Increase in laboratory markers of inflammation like erythrocyte sedimentation rate and C- reactive protein can be seen although a negative value does not rule out vasculitis.…”

Section: Large Vessel Vasculitismentioning

confidence: 99%

Mimickers of chronic thromboembolic pulmonary hypertension on imaging tests: a review

Narechania¹,

Renapurkar²,

Heresi³

2020

Pulm. circ.

View full text Add to dashboard Cite

Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by mechanical obstruction of large pulmonary arteries secondary to one or more episodes of pulmonary embolism. Ventilation perfusion scan is the recommended initial screening test for this condition and typically shows multiple large mismatched perfusion defects. However, not all patients with an abnormal ventilation perfusion scan have CTEPH since there are other conditions that be associated with a positive ventilation perfusion scan. These conditions include in situ thrombosis, pulmonary artery sarcoma, fibrosing mediastinitis, pulmonary vasculitis and sarcoidosis, among others. Although these conditions cannot be distinguished from CTEPH using a ventilation perfusion scan, they have certain characteristic radiological features that can be demonstrated on other imaging techniques such as computed tomography scan and can help in differentiation of these conditions. In this review, we have summarized some key clinical and radiological features that can help differentiate CTEPH from the CTEPH mimics.

show abstract

“…3 The pulmonary manifestations of TA include cough, dyspnea, chest pain, and pulmonary hypertension. 4 In the past, because of the rare presentation of pulmonary symptoms, pulmonary involvement was considered an uncommon manifestation of the disease; however, the prevalence of pulmonary arterial involvement is now estimated to be between 50% and 80%. 5 Pneumothorax is defined as the presence of air in the pleural space.…”

mentioning

confidence: 99%

Takayasu arteritis presenting with spontaneous pneumothorax

Hızal¹,

Polat²,

Özen³

et al. 2020

Turk J Pediatr

View full text Add to dashboard Cite

Background. Takayasu arteritis (TA) is an idiopathic chronic inflammatory arteritis that affects the large blood vessels. Pulmonary involvement was considered an uncommon manifestation of the disease and spontaneous pneumothorax has not been previously described in association with TA. Case. We report a 13-year-old female who had TA complicated by spontaneous pneumothorax during treatment. She was admitted to the hospital reporting difficulty standing from a squatting position and inability to walk without support. She had been diagnosed with dilate cardiomyopathy four years ago and cardiac functions had deteriorated over time. Catheter angiography revealed diffuse narrowing of the abdominal aorta. In magnetic resonance angiography, total-subtotal occlusion of the infrarenal abdominal aorta in a 2 cm area and subtotal occlusion of the left renal artery were detected without pulmonary artery involvement. Methotrexate, azathioprine, and prednisolone were administered. Tension pneumothorax developed on the left side while she was on prednisolone treatment. Conclusion. To our knowledge, this is the first case of spontaneous pneumothorax associated with TA to be reported in the literature.

show abstract

Takayasu Arteritis: Consideration of Pulmonary Involvement

Cited by 11 publications

References 20 publications

Chronic chest pain: Where is the pathology?

Chronic chest pain: Where is the pathology?

Mimickers of chronic thromboembolic pulmonary hypertension on imaging tests: a review

Takayasu arteritis presenting with spontaneous pneumothorax

Contact Info

Product

Resources

About