Rare Presentations of Takayasu Arteritis: A Case Series

Abstract

Takayasu arteritis (TA) is a form of large vessel vasculitis that may lead to fibrosis, stenosis, or aneurysm formation of vessels. Its presentation varies depending on the arterial beds involved. We report 3 cases out of around 150 cases of TA with rare initial presentations of brachial plexopathy caused by an axillary artery aneurysm, complicated type A intramural hematoma, and renal artery aneurysms along with abdominothoracic TA presenting as a pulsatile abdominal mass.

Keywords

Takayasu arteritis - axillary artery aneurysm - brachial plexopathy - intramural hematoma - dissection - abdominal artery - renal artery - case series

Authors' Contributions

S.M. and S.S. contributed to conceptualization; formal analysis; writing—original draft; and writing—review and editing). S.S.K. contributed to conceptualization; investigation; and supervision. N.N., J.R., and S.P. contributed to conceptualization; formal analysis; and writing—review and editing.

Publikationsverlauf

Artikel online veröffentlicht:
09. August 2024

• References

• 1 Ishikawa K. Diagnostic approach and proposed criteria for the clinical diagnosis of Takayasu's arteriopathy. J Am Coll Cardiol 1988; 12 (04) 964-972
• 2 Sharma BK, Jain S, Suri S, Numano F. Diagnostic criteria for Takayasu arteritis. Int J Cardiol 1996; 54: S141-S147
• 3 Jennette JC, Falk RJ, Bacon PA. et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum 2013; 65 (01) 1-11
• 4 Mondal S, Raj RR, Gaddamedi SK. Young adult with left ventricular dysfunction. Heart 2024; 110 (05) 322-384
• 5 Kumar SS, Mondal S, Sasidharan B, Radhakrishnan J. Left ventricular outflow tract aneurysm to aortic sinus fistula in Takayasu arteritis. IHJ Cardiovasc Rep 2024; 8 (01) 14-17
• 6 Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F. Clinical manifestations of Takayasu arteritis in India and Japan–new classification of angiographic findings. Angiology 1997; 48 (05) 369-379
• 7 Subramanyan R, Joy J, Balakrishnan KG. Natural history of aortoarteritis (Takayasu's disease). Circulation 1989; 80 (03) 429-437
• 8 Kim D, Roche-Nagle G. Axillary artery aneurysm combined with brachial plexus palsy due to Takayasu arteritis. BMJ Case Rep 2018; 2018 bcr2017221863
• 9 Rocha LK, Romitti R, Shinjo S, Neto ML, Carvalho J, Criado PR. Cutaneous manifestations and comorbidities in 60 cases of Takayasu arteritis. J Rheumatol 2013; 40 (05) 734-738
• 10 Wu XP, Zhu P. Clinical features of aortic dissection associated with Takayasu's arteritis. J Geriatr Cardiol 2017; 14 (07) 485-487
• 11 Sharma BK, Jain S, Radotra BD. An autopsy study of Takayasu arteritis in India. Int J Cardiol 1998; 66 (Suppl. 01) S85-S90 , discussion S91
• 12 Marla R, Migrino R, Osipov V, Lilly RE. Takayasu arteritis presenting as type A intramural hematoma–an unusual presentation. Int J Cardiol 2010; 145 (01) e30-e32
• 13 Chow SCY, Wong RHL, Lakhani I. et al. Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis. J Thorac Dis 2020; 12 (03) 680-689
• 14 Wang J, Li C, Zheng Y. et al. Multiple aneurysms of the subclavian-axillary, abdominal aortoiliac, lower extremity, and coronary arteries in a pediatric patient of Takayasu arteritis. Ann Vasc Surg 2022; 81: 387.e1-387.e8
• 15 Thakare DR, Mishra P, Rathore U. et al. Renal artery involvement is associated with increased morbidity but not mortality in Takayasu arteritis: a matched cohort study of 215 patients. Clin Rheumatol 2024; 43 (01) 67-80
• 16 Matsubara K, Matsumoto K, Kameyama K, Obara H, Kitajima M. Large renal artery aneurysm in Takayasu arteritis. J Vasc Surg 2006; 44 (05) 1107-1109
• 17 Matsumura K, Hirano T, Takeda K. et al. Incidence of aneurysms in Takayasu's arteritis. Angiology 1991; 42 (04) 308-315