Takayasu's arteritis history and symptoms: Difference between revisions
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==History== | ==History== | ||
Takayasu's arteritis can be divided into two phases:<ref name="pmid7909656">{{cite journal |vauthors=Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, Hoffman GS |title=Takayasu arteritis |journal=Ann. Intern. Med. |volume=120 |issue=11 |pages=919–29 |date=June 1994 |pmid=7909656 |doi= |url=}}</ref> | Takayasu's arteritis can be divided into two phases:<ref name="pmid7909656">{{cite journal |vauthors=Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, Hoffman GS |title=Takayasu arteritis |journal=Ann. Intern. Med. |volume=120 |issue=11 |pages=919–29 |date=June 1994 |pmid=7909656 |doi= |url=}}</ref><ref name="pmid20596053">{{cite journal |vauthors=Mason JC |title=Takayasu arteritis--advances in diagnosis and management |journal=Nat Rev Rheumatol |volume=6 |issue=7 |pages=406–15 |date=July 2010 |pmid=20596053 |doi=10.1038/nrrheum.2010.82 |url=}}</ref> | ||
* Pre-pulseless phase | * Pre-pulseless phase | ||
** Present with non-specific constitutional symptoms of vasculitis, which may include any of the following | ** Present with non-specific constitutional symptoms of vasculitis, which may include any of the following | ||
| Line 20: | Line 20: | ||
** 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]]: | *** [[Subclavian artery]]: | ||
**** | **** [[Claudication]] in the [[upper extremities]] | ||
*** Carotid and vertebral arteries: | **** [[Subclavian steal syndrome]] | ||
**** Headache | *** [[Carotid arteries|Carotid]] and [[Vertebral artery|vertebral arteries]]: | ||
**** Vertigo | **** [[Headache]] | ||
**** Syncope | **** [[Vertigo]] | ||
**** Convulsions | **** [[Syncope]] | ||
**** Dementia | **** [[Convulsions]] | ||
*** Coronary arteries: | **** [[Dementia]] | ||
*** [[Coronary arteries]]: | |||
**** Chest pain | **** Chest pain | ||
**** Angina which may progress to myocardial infarction | **** Angina which may progress to myocardial infarction | ||
*** Ascending aorta: | *** [[Ascending aorta]]: | ||
**** Aortic | **** [[Aortic regurgitation]] | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of Takayasu's arteritis include: | Common symptoms of Takayasu's arteritis include: | ||
* Headache | * [[Headache]] | ||
* Malaise | * [[Malaise]] | ||
* Arthralgias | * [[Arthralgia|Arthralgias]] | ||
* Bruit | * [[Bruit]] | ||
* Blood pressure difference of extremities | ** The most common location being the [[carotid artery]] | ||
* Claudication | * Blood pressure difference of extremities | ||
* Hypertension | * [[Claudication]] | ||
* Visual disturbance | * [[Hypertension]] | ||
* [[Visual disturbance]] | |||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of Takayasu's arteritis include: | Less common symptoms of Takayasu's arteritis include: | ||
* Fever | * [[Fever]] | ||
* Weight loss | * [[Weight loss]] | ||
* Carotodynia or vessel tenderness | * Carotodynia or vessel tenderness | ||
* Raynaud syndrome | * Raynaud syndrome | ||
* Stroke | * Stroke | ||
* Transient ischemic attacks | * Transient ischemic attacks | ||
* Seizures | * Seizures | ||
* Erythema nodosum | * Erythema nodosum | ||
* Ulcerated subacute nodular lesions | * Ulcerated subacute nodular lesions | ||
* Pyoderma gangrenosum | * Pyoderma gangrenosum | ||
* Angina | * Angina | ||
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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][2]
- 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:
- Carotid and vertebral arteries:
- Coronary arteries:
- Chest pain
- Angina which may progress to myocardial infarction
- Ascending aorta:
- 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:
- Bruit
- The most common location being the carotid artery
- Blood pressure difference of extremities
- Claudication
- Hypertension
- Visual disturbance
Less Common Symptoms
Less common symptoms of Takayasu's arteritis include:
- Fever
- Weight loss
- Carotodynia or vessel tenderness
- Raynaud syndrome
- Stroke
- Transient ischemic attacks
- Seizures
- Erythema nodosum
- Ulcerated subacute nodular lesions
- Pyoderma gangrenosum
- Angina
- Gastrointestinal symptoms
References
- ↑ Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, Hoffman GS (June 1994). "Takayasu arteritis". Ann. Intern. Med. 120 (11): 919–29. PMID 7909656.
- ↑ Mason JC (July 2010). "Takayasu arteritis--advances in diagnosis and management". Nat Rev Rheumatol. 6 (7): 406–15. doi:10.1038/nrrheum.2010.82. PMID 20596053.