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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Takayasu's arteritis (aortic arch syndrome) has a predilection for the aortic arch and its branches. It may result in loss of pulses, claudication – especially affecting the upper limbs – as well as arterial bruits.
Geriatric headache
Published in Stephen D. Silberstein, Richard B. Upton, Peter J. Goadsby, Headache in Clinical Practice, 2018
Stephen D. Silberstein, Richard B. Upton, Peter J. Goadsby
Other ischemic symptoms can occur. Jaw (or masseter) claudication is characterized by the gradual onset of pain resulting from chewing for several minutes.24 This gradual onset contrasts with the rapid onset of lancinating pain with chewing that characterizes trigeminal neuralgia. Temporomandibular joint dysfunction is typified by the rapid onset of a dull ache. Ischemia of the extraocular muscles and/or the oculomotor nerves may produce diplopia owing to ocular motor paresis. Coronary, mesenteric, hepatic, and renal artery ischemia have also been reported. Aortic arch syndrome may occur with rupture.32
Diseases of Blood vessels
Published in P. Chopra, R. Ray, A. Saxena, Illustrated Textbook of Cardiovascular Pathology, 2013
Takayasu arteritis Commonly designated as nonspecific aortoarteritis is a panarteritis affecting the large and medium sized vessels of predominantly women of 20 to 30 years of age. The typical manifestation is one of "pulseless disease" due to obliterative arteritis of the arch vessels (aortic arch syndrome) (Fig. 13.1). However, the disease process may affect any segment of the aorta and medium sized arteries, pulmonary arteries, etc. (Figs 13.1 to 13.12). Involvement of the thoraco-abdominal segment of the aorta including the renal arteries is frequently seen (Figs 13.5 to 13.8). Renal artery narrowing/stenosis is a common cause of hyper-
Updates in the diagnosis and management of Takayasu’s arteritis
Published in Postgraduate Medicine, 2023
Anupam Somashekar, Yiu Tak Leung
Takayasu’s arteritis was first described in 1908 by ophthalmologist Mikito Takayasu as a ‘case of peculiar changes in the retinal vessels’ in a 22-year-old woman who presented with gradual vision loss [1]. He described aneurysmal abnormalities of the retinal branches, as well as a wreath like arteriovenous anastomosis around the optic disc. On the same day, Yoshiakira Ohnishi reported a similar case of vision loss in a woman and also reported that the patient had an impalpable radial pulse [2]. The disease was initially named Takayasu-Ohnishi arteritis, but has carried various names over the years including ‘pulseless disease’ [3], ‘atypical coarctation of the aorta’ [4], ‘aortic arch syndrome’ [5], and ‘obstructive productive arteritis’ [6]. In 1962, Judge et al. coined the disease ‘Takayasu’s arteritis’ and since then this has been the name recognized worldwide [7].
Dynamic observation on collateral circulation construction of patient with vertebral artery restenosis after stenting: case report
Published in International Journal of Neuroscience, 2021
Yan-Wei Yin, Qian-Qian Sun, Da-Wei Chen, Fa-Guo Zhao, Jin Shi
Vertebrobasilar stenosis can be caused by atherosclerosis [7], radiation injury [8], vasculitis [9] and so on. For this patient, we speculated that atherosclerosis was the major cause of vertebral artery stenosis, because he had a history of hyperlipidemia, hypertension and smoking habit, but no other factors (such as infection, radiation injury and fibromascular dysplasia). However, it should be noted that the characteristic of this patient was similar to Takayasu's arteritis (also known as aortic arch syndrome).Takayasu's arteritis is a granulomatous large-vessel vasculitis involving the aorta and its main branches, including the subclavian arteries, carotid arteries and renal arteries [10]. This inflammation leads to stenosis of the main branches of the aorta. Nevertheless, we did not observe the ‘inflammatory phase’ characterized by systemic illness with signs and symptoms of malaise, fever, night sweats, weight loss, joint pain, and fatigue in this patient. In addition, the negative result of related inflammation indicators was also presented in the whole process. Therefore, there is insufficient evidence in support of Takayasu's arteritis.