AB0689 Extravascular manifestations of takayasu arteritis: historical cohort study in korea

Abstract

BackgroundTakayasu arteritis (TAK) is systemic disease characterised by large vessel involvement. Although the vascular characteristics of TAK are well characterised, there is no well-organised study demonstrating the extravascular manifestations of TAK.ObjectivesTo evaluate the characteristics of extravascular manifestations of TAK, and to identify the association between vascular and extravascular manifestations of TAK.MethodsTAK patients from two independent cohorts who fulfilled the 1990 ACR classification and encoded M314 according to ICD-10 code between January 2012 and October 2017 were included in the study. Characteristics of the patients were retrospectively collected from the electronic dataset. A radiologist reviewed CT scans of all included patients to evaluate the pattern of vascular involvement and presence of sacroiliitis. Clinical findings including uveitis, skin lesion, oral ulcer, arthritis, and inflammatory bowel disease (IBD) were reviewed. Logistic regression analysis was performed to evaluate the association between vascular and extravascular manifestation.ResultsA total of 268 TAK patients were included. Mean age at diagnosis was 41.2±14.2 years and 236 (88.1%) were female. The most commonly involved vessel was common carotid artery (176 [65.7%]), and the most common type of vascular involvement was type V (120 [44.8%]). Extravascular manifestation of TAK was observed in 51 (19.0%) patients (table 1). The most common extravascular manifestation was arthritis (axial arthritis [sacroiliitis] [7.1%] and/or peripheral arthritis [6.0%]) (11.9%) followed by recurrent aphthous stomatitis (8.6%) and IBD (2.6%). In multivariable logistic regression analysis, the following factors were significantly associated with presence of arthritis (axial and/or peripheral arthritis): type IIB vascular involvement (adjusted OR 2.956, 95% CI 1.337–6.537, p=0.007) and erythrocyte sedimentation rate (ESR) (adjusted OR 1.014 95% CI 1.003–1.025, p=0.012).Abstract AB0689 – Table 1Extravascular manifestations of Takayasu arteritisn=268 Any extravascular manifestation51 (19.0%)Arthritis (axial arthritis [sacroiliitis] and/or peripheral arthritis)32 (11.9%)Recurrent aphthous stomatitis23 (8.6%)Inflammatory bowel disease7 (2.6%)Erythema nodosum4 (1.5%)Uveitis2 (0.7%)ConclusionsExtravascular manifestations of TAK are not rare and observed in up to one-fifth of patients. The most common extravascular manifestation was arthritis including sacroiliitis (11.9%). Type IIb vascular involvement pattern and high ESR were significantly associated with arthritis in TAK.AcknowledgementsNoneDisclosure of InterestNone declared

Advances in Takayasu arteritis: An Asia Pacific perspective

“…In addition to vascular manifestations, extravascular manifestations can also be seen. Most frequently noted features include arthritis/arthralgia with or without sacroiliitis, oral ulcers, inflammatory bowel disease, ocular conditions like scleritis, episcleritis, uveitis, and skin lesions including pyoderma gangrenosum and erythema nodosum ( 71 ).…”