Atypical Takayasu arteritis: late onset and arthritic manifestations: report of two cases

Nakabayashi, Kimimasa; Nitadori, Toshiaki; Kamiya, Yasushi; Nagasawa, Toshihiko

doi:10.1016/s0167-5273(98)00172-7

Cited by 12 publications

(7 citation statements)

References 11 publications

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“…In the literature to date only few cases of the concurrent presence of TA and RA have been described. Some of these reports suggest that the age at diagnosis of TA in patients with RA is higher in comparison to patients with isolated TA [9, 10]. In a series of 20 patients with RA, the mean age at diagnosis of TA was more advanced than the typical age at diagnosis of isolated TA (resp., 55 years versus 28 years) [9].…”

Section: Discussionmentioning

confidence: 99%

Late Onset Takayasu Arteritis and Rheumatoid Arthritis

Verweij

Well

Sluijs

et al. 2012

Case Reports in Medicine

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We encountered the rare case of a 48-year-old Caucasian woman who developed Takayasu arteritis (TA) while suffering from seropositive rheumatoid arthritis (RA). Several studies have reported an association between TA and various autoimmune disorders, however, the concurrent presence of Takayasu arteritis and rheumatoid arthritis is described in only few cases in the literature to date. The exact nature of the relationship between TA and RA remains unknown. Perhaps the development of these two diseases represents non-specific systemic inflammatory changes in the presence of a hereditary background predisposing to both RA and TA.

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Section: Discussionmentioning

confidence: 99%

Late Onset Takayasu Arteritis and Rheumatoid Arthritis

Verweij

Well

Sluijs

et al. 2012

Case Reports in Medicine

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“…[ 4 ] The inflammation in TA causes varying degree of stenosis, occlusion or dilatation of the involved vessels. [ 3 – 7 ] The exact pathogenesis of the arteritis is still unknown. [ 1 – 8 ] Though tuberculosis, streptococcal infections, rheumatoid arthritis and other collagen vascular diseases had been debated for its etiology in the past, recently more emphasis has been given on immunopathological cause.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 4 ] Similar primary small vessel involvement in other parts of the body including retinal vessels are the possible explanation of the clinico-pathological manifestations of TA. [ 1 5 – 7 ] Classical ophthalmological features are due to hypotension or hypertensive retinopathy. [ 3 4 ] The ocular features in the disease commonly result from the ocular hypotension secondary to occlusion of the arteries.…”

Section: Discussionmentioning

confidence: 99%

A case of unusual presentation of Takayasu′s arteritis

Das

Mondal

Ray

et al. 2010

Indian J Ophthalmol

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Takayasu'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. The retinal hemodynamics suggest that the carotid artery involvement causes diminished retinal blood flow. This is the pathogenetic mechanism of Takayasu's retinopathy with characteristic features of microaneurysms, arterio-venous anastomosis and non-perfused retinal areas. Our case presented as branch retinal artery occlusion with collaterals and iris neovascularization. The branch retinal artery, a small retinal artery occlusion in our case is an unusual presenting feature of Takayasu's aorto-arteritis.

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“…We have reported a case of aortitis associated with RA and reviewed 24 cases from 13 studies of RA aortitis (Table 1) (Sandring and Weil 1961; Falicov and Cooney 1964; Reimer et al 1976; Rush et al 1986; Sketchler and Waxman 1987; Mimura1 and Sueishi 1989; Gravallese et al 1989; Towned et al 1991; Nakabayashi et al 1998; Korkmaz et al 2001; Miller et al 2006; Verweij1 et al 2012; Mariani and Alexander 2013). As shown in Table 1, the mean patient ages at the times of diagnosis of RA and aortitis were 49 ± 14.5 (range 16–74) and 56 ± 15.2 (range 16–82) years, respectively.…”

Section: Literature Review and Assessment Of Our Casementioning

confidence: 99%

Rheumatoid arthritis-associated aortitis: a case report and literature review

et al. 2014

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Rheumatoid arthritis (RA) is a systemic autoimmune inflammatory disorder that primarily affects the synovial joints. Rheumatoid vasculitis (RV) is an extra-articular manifestation of RA, and its association with aortitis is rare and not widely recognised. Here, we report the case of a 69-year-old woman with RA-associated aortitis and review the literature on rheumatoid aortitis. The mean oral steroid dose administered to RA-associated aortitis patients was 46.3 mg/day prednisolone (PSL). In our patient, the aortitis was also thought to be due to RV because she had findings of RV, such as cutaneous ulceration and a high rheumatoid factor titre, and because a moderate PSL dose dramatically improved the clinical findings. RA-associated aortitis, if left untreated, can be fatal; therefore, early detection and treatment initiation is very important.

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Atypical Takayasu arteritis: late onset and arthritic manifestations: report of two cases

Cited by 12 publications

References 11 publications

Late Onset Takayasu Arteritis and Rheumatoid Arthritis

Late Onset Takayasu Arteritis and Rheumatoid Arthritis

A case of unusual presentation of Takayasu′s arteritis

Rheumatoid arthritis-associated aortitis: a case report and literature review

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