Tratamento coadjuvante da arterite de Takayasu através de angioplastia transluminal percutânea com stents: relato de caso e revisão de literatura

Almeida, Glauber Tercio de; Barbosa, Bruna Maria Lopes; Biatto, Jair Francisco Pestana; Casaroto, Eduardo; Loures, Marco Antônio Araújo da Rocha

doi:10.1590/s0482-50042008000200011

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…6,16 Endovascular approaches such as angioplasty with or without stenting and revascularization surgery may be employed in individuals with critical stenosis, but these procedures should be carried out only after the patient has been in remission, since negative outcomes may occur in individuals with active disease. 10,15 Recent publications on renovascular disease associated with TA have included few subjects given the low prevalence of this condition. The evidence available indicates renal angioplasty has yielded better outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…The immediate outcome of angioplasty is generally good, but sustaining vascular patency relies on the good management of the disease's inflammatory activity. 15 Treatment failure occurs primarily in cases of involvement of the aorta associated with proximal renal artery involvement. 6 Similarly to our case, Tumeleiro et al reported on a 25-year-old patient presented with vomiting, headaches, acute pulmonary edema, hypertension (200/140 mmHg), mildly increased creatinine level, and cardiac dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…Incidence in the USA and Europe ranges from 1 to 3 cases per million population a year. 15 Transmural granulomatous inflammation characteristically seen in TA may cause stenosis, occlusion, dilation, and/or the formation of aneurysms in the involved arteries. 4,12 Genetic causes, infectious agents, and autoimmune factors may be connected to the progression of TA, in addition to a possible link between TA and infection by Mycobacterium tuberculosis (MT) as indicated in tuberculin purified protein derivative (PPD) tests.…”

Section: Introductionmentioning

confidence: 99%

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Takayasu arteritis: differential diagnosis in a teenager with severe acute kidney injury - a case report

et al. 2019

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Takayasu arteritis (TA) is a chronic granulomatous inflammatory condition of unknown cause that involves large vessels - particularly the aorta and its branches - such as the carotid, coronary, pulmonary, and renal arteries. The left subclavian artery is the most frequently involved vessel. Stenosis of the renal artery has been reported in 23-31% of the cases and may result in malignant hypertension, ischemic renal disease, decompensated heart failure, and premature death. Involvement of both renal arteries is uncommon. Early onset anuria and acute kidney injury are rare and have been reported only in a few cases in the literature. This report describes the case of a 15-year-old female with constitutional symptoms evolving for a year, combined with headache, nausea, and vomiting, in addition to frequent visits to emergency services and insufficient clinical examination. The patient worsened significantly six months after the onset of symptoms and developed acute pulmonary edema, oliguria, acute kidney injury, and difficult-to-control hypertension, at which point she was admitted for intensive care and hemodialysis. Initial ultrasound examination showed she had normal kidneys and stenosis-free renal arteries. The patient was still anuric after 30 days of hospitalization. A biopsy was performed and revealed her kidneys were normal. Computed tomography angiography scans of the abdominal aorta presented evidence of occlusion of both renal arteries. The patient met the diagnostic criteria for Takayasu arteritis and had a severe complication rarely described in the literature: stenosis of the two renal arteries during the acute stage of ischemic renal disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Takayasu arteritis: differential diagnosis in a teenager with severe acute kidney injury - a case report

et al. 2019

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BiobadaBrasil: registro da sociedade e dos reumatologistas brasileiros

Titton¹

2011

Rev. Bras. Reumatol.

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I n this volume, the article Brazilian Biologic Registry: BiobadaBrasil implementation process and preliminary, the authors described the implementation of the registry "Monitoring the Brazilian Registry of Biological Therapies in Rheumatic Diseases-BiobadaBrasil" promoted by the Brazilian Society of Rheumatology (BSR), and presented data from the first ten months of the study providing this registry available to all rheumatologists and the Brazilian Society. The registry implementation was a proposal from the "First Forum of New Resources Rheumatology", held in Sao Paulo in July 2007, to create a national database of biological agents. Afterwards, a contract was signed with the BSR, PANLAR and Spanish Society of Rheumatology (SSR) in order to participate in BIOBADAMERICA in November of that year. This action was the result of the vision of President of SBR (2006-08), Fernando Neubarth, that participate in a registry already consolidated as BIOBADASER and rely on its support and advice would facilitate the implementation and consolidation of the Brazilian registry. Using a simple online platform makes this registry accessible to all study centers with internet access and all rheumatologists interested in participating. The implementation process is described in the article, with a training phase, the BiobadaBrasil I, with the system and documents adaptation from Spanish to Portuguese, staff training, and gradual implementation. In April 2009, it was officially presented in the "XX Brazilian Conference Rheumatology" in Natal, and rheumatologists were invited to participate. Throughout this period, the study was presented and discussed in all SBR events and its disclosure was made at the company website and magazine. The President of BSR (2008-10), Ieda Laurindo, actively supported the study, encouraged and guided the implementation team, and was the main responsible for implementing the study in 23 centers and including 1,037 patients until February 2010.

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Comorbidades em pacientes com osteoartrite: frequência e impacto na dor e na função física

Leite¹,

Costa²,

Lima³

et al. 2011

Rev. Bras. Reumatol.

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Introduction: As the prevalence of osteoarthritis (OA) increases with age, the coexistence of other chronic diseases is common. Objectives: To evaluate the frequency of comorbidities in OA patients and to measure their impact on pain and physical function of those patients. Methods: Cross-sectional study in OA patients of a public rheumatology clinic. Pain was measured by use of the Visual Analogue Scale (VAS) and physical function by use of the Lequesne's and SACRAH indices. A screening for depression was performed, as were the following measurements: anthropometric data; blood pressure; fasting glycemia; and lipid profile. Results: The study assessed 91 patients (mean age 59.3 years; 91.4% female). The metabolic syndrome frequency was 54.9%. Hypertension occurred in 75.8% of the patients, dyslipidemia in 52.6%, and obesity in 57.1%. The screening for depression was positive in 61.3% of patients. When comparing the metabolic syndrome components individually, patients with hypertension had higher SACRAH scores, with statistically significant differences (P = 0.035). For the other variables, no differences among the Lequesne's, SACRAH and VAS scores were observed. Conclusion: This group of OA patients showed a high frequency of depression, metabolic syndrome and its components in isolation, which can impact the pain and physical function of those patients. Such results showed the need for investigating and treating those comorbidities in OA patients.

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Tratamento coadjuvante da arterite de Takayasu através de angioplastia transluminal percutânea com stents: relato de caso e revisão de literatura

Cited by 4 publications

References 8 publications

Takayasu arteritis: differential diagnosis in a teenager with severe acute kidney injury - a case report

Takayasu arteritis: differential diagnosis in a teenager with severe acute kidney injury - a case report

BiobadaBrasil: registro da sociedade e dos reumatologistas brasileiros

Comorbidades em pacientes com osteoartrite: frequência e impacto na dor e na função física

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