International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064

Downloads: 96 | Views: 113

Case Studies | Medicine Science | India | Volume 7 Issue 1, January 2018

A Case of Unusual Presentation of Takayasus Arteritis with Rheumatic Heart Disease

Dr. Viral Patel | Dr Kamal Pathak | Dr AlpeshVadher

Abstract: Takayasu & #039, s arteritis is a chronic inflammatory disease of the large and medium-sized arteries. It commonly involves the aorta with its branches and the pulmonary arteries. Clinically, pulsations were absent in the involved vessels- most commonly in the subclavian artery followed by common carotid and abdominal aorta, renal artery in majority of cases. The high prevalence rates of the disease is reported from Asian countries especially in Japan, India, Korea, and Thailand We present a 26 yrs. married female presenting with complaints of dyspnea, Paroxysmal nocturnal dyspnoea and a pitting oedema over both legs since 8 months at the time of presentation. She had a past history of hemiparesis on right side about a year back which completely recovered over 4-6 hrs. On obstetrics history she had multiple spontaneous abortions (n=3) in third trimester with a preterm delivery 6 months back. On examination all pulse on right side were absent barring weaker, low volumed femoral and carotid arteries. High blood pressure (200+10 and 100+10) was recorded in left brachial artery. Cardiac examination showed systolic murmur in all 4 areas. On investigation, all routine investigations were normal except a raised ESR (104).2D echo showed severe MR/TR/PAH and moderate MS/AR (probably of a rheumatic origin). To substantiate the diagnosis of a Antiphospholipid syndrome, APLA and ANA tests were done which were negative. A CT angiography of aortic root, its branches and abdominal aorta documenting occlusions of right subclavian artery, abdominal aorta, right femoral artery and bilateral renal artery. The relative lees frequently seen combination of Rheumatic heart disease in the face of a Takayasus arteritis is presented hereby for its uncommon occurrence.

Keywords: Takayasus arteritis, Rheumatic heart disease, Anti-phospholipid antibody, Anti Nuclear antibody

Edition: Volume 7 Issue 1, January 2018,

Pages: 1707 - 1708

How to Download this Article?

Type Your Email Address below to Download the Article PDF

How to Cite this Article?

Dr. Viral Patel, Dr Kamal Pathak, Dr AlpeshVadher, "A Case of Unusual Presentation of Takayasus Arteritis with Rheumatic Heart Disease", International Journal of Science and Research (IJSR), Volume 7 Issue 1, January 2018, pp. 1707-1708,

Similar Articles with Keyword 'Rheumatic heart disease'

Downloads: 112

Research Paper, Medicine Science, India, Volume 5 Issue 9, September 2016

Pages: 1647 - 1650

Emergency LSCS in A Patient with Rheumatic Heart Disease and Severe Mitral Stenosis and PAH (NYHA III)

Samrajni Ganguly [4] | Aishwarya V. Bandewar | Olvyna Dsouza | Rohan Roshan Nayak | Jessy Sabu

Share this Article

Downloads: 144

Case Studies, Medicine Science, India, Volume 6 Issue 7, July 2017

Pages: 708 - 709

Giant Left Atrium: A Cause of Atrial Fibrillation and Rare Entity in Chronic Rheumatic Valvular Heart Disease: A Case Report

Aditi Pandey | Aniket Kumar [2]

Share this Article