Takayasu's arteritis history and symptoms: Difference between revisions
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* Subsequent pulseless phase | * Subsequent pulseless phase | ||
** With progression of the disease and involvement of the branches of aorta, specific symptoms secondary to narrowing/occlusion of the branches of aorta become evident | ** With progression of the disease and involvement of the branches of [[aorta]], specific symptoms secondary to narrowing/occlusion of the branches of aorta become evident. | ||
** [[Subclavian artery]]: claudication in the upper extremities, subclavian steal syndrome | *** [[Subclavian artery]]: | ||
** Carotid and vertebral arteries: | **** claudication in the upper extremities, subclavian steal syndrome | ||
** Coronary arteries: | *** Carotid and vertebral arteries: | ||
** Ascending aorta: | **** Headache | ||
**** Vertigo | |||
**** Syncope | |||
**** Convulsions | |||
**** Dementia | |||
*** Coronary arteries: | |||
**** Chest pain | |||
**** Angina which may progress to myocardial infarction | |||
*** Ascending aorta: | |||
**** Aortic regurgiatation | |||
===Common Symptoms=== | ===Common Symptoms=== | ||
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* Ulcerated subacute nodular lesions (<2.5%) | * Ulcerated subacute nodular lesions (<2.5%) | ||
* Pyoderma gangrenosum | * Pyoderma gangrenosum | ||
* Angina | |||
* Gastrointestinal symptoms | |||
==References== | ==References== | ||
Revision as of 20:12, 31 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
Overview
History
Takayasu's arteritis can be divided into two phases:[1]
- Pre-pulseless phase
- Present with non-specific constitutional symptoms of vasculitis, which may include any of the following
- Subsequent pulseless phase
- With progression of the disease and involvement of the branches of aorta, specific symptoms secondary to narrowing/occlusion of the branches of aorta become evident.
- Subclavian artery:
- claudication in the upper extremities, subclavian steal syndrome
- Carotid and vertebral arteries:
- Headache
- Vertigo
- Syncope
- Convulsions
- Dementia
- Coronary arteries:
- Chest pain
- Angina which may progress to myocardial infarction
- Ascending aorta:
- Aortic regurgiatation
- Subclavian artery:
- With progression of the disease and involvement of the branches of aorta, specific symptoms secondary to narrowing/occlusion of the branches of aorta become evident.
Common Symptoms
Common symptoms of Takayasu's arteritis include:
- Headache
- Malaise
- Arthralgias
- Bruit, with the most common location being the carotid artery (80%)
- Blood pressure difference of extremities (45%-69%)
- Claudication (38-81%)
- Hypertension (28-53%; 58% with renal artery stenosis in one series
- Visual disturbance
Less Common Symptoms
Less common symptoms of Takayasu's arteritis include:
- Fever
- Weight loss
- Carotodynia or vessel tenderness
- Raynaud syndrome
- Stroke (5-9%)
- Transient ischemic attacks (3-7%)
- Seizures
- Erythema nodosum (6-19%)
- Ulcerated subacute nodular lesions (<2.5%)
- Pyoderma gangrenosum
- Angina
- Gastrointestinal symptoms