FEMENINA 59 A?OS CON ARTERITIS DE TAKAYASU

Background: Takayasu?s arteritis is a granulomatous vasculitis that affects mainly young women?up to 30 years old. It's a rare and infrequent condition. ?We report a late diagnostic case with?images showing important collateral vessel formation. Case description: A 59-year old woman?was admitte...

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Main Authors: Fiedler Vel?squez, Eduardo, Fern?ndez Vieto, Jaime, Ram?rez Salas, Melissa
Format: Artículo
Language: Español
Published: 2015
Subjects:
Online Access: http://revistas.ucr.ac.cr/index.php/clinica/article/view/7969
http://hdl.handle.net/10669/14748
Summary: Background: Takayasu?s arteritis is a granulomatous vasculitis that affects mainly young women?up to 30 years old. It's a rare and infrequent condition. ?We report a late diagnostic case with?images showing important collateral vessel formation. Case description: A 59-year old woman?was admitted to the Internal Medicine Department, having previously been ?diagnosed with?hypertension at age of 29 and never been studied?by a secondary cause. ?At the present ?time shewas admitted due to a heart attack without ST?elevation ?and a doppler ultrasound performed?showed absence of flow on both carotid arteries.?A CT scan demonstrated an important formation?of collateral vessels that nourished the right subclavian artery through the posterior cervical?region. Upon physical examination, there were?no pulses but the left radial and right pedial.?Conclusion: Takayasu?s arteritis should be considered into the differential diagnosis of secondary causes of high blood pressure. In this particular case, the diagnosis was made by CT scan?characteristic findings, which can be helpful?when collateral vessels and absence of flow of?the main vessels are present.