Heart failure as the initial manifestation of takayasu's arteritis

Abstract

On inquiry there was history of orthopnea and paroxysmal nocturnal dyspnea.There was no history of cough, hemoptysis, fever, joint pain, headache, malaise, weight loss, loss of appetite or any other systemic manifestation. No history of tuberculosis or tuberculosis contact.Patient consulted a chest physician initially and was suspected of having bronchial asthma and started on formoterol and budesonide rotahaler for the same. ABSTRACTTakayasu's arteritis is a rare systemic, inflammatory large vessel vasculitis of unknown etiology that most commonly affects women of childbearing age. It is defined as granulomatous inflammation of the aorta and its major branches. We describe a 27 years old female who presented with dyspnea in the emergency medicine department of DY patil hospital, Maharashtra, India. The initial examination showed signs of heart failure along with unequal pulses bilaterally with difference in systolic BP in bilateral upper limb of more than 10 mm Hg. Patient underwent routine investigations like ECG / 2D-echo / cardiac markers. 2decho was suggestive of severe pulmonary hypertension with dilated cardiomyopathy. Further investigation in view of physical findings and 2decho report led to the diagnosis of takayasu's arteritis.

Evolution into Takayasu arteritis in a patient presenting with acute pulmonary oedema due to severe aortic regurgitation; a case report

“…One recent case report describes a teenage girl who presented with acute heart failure due to myocarditis, however she had preceding arm claudication, systemic and cutaneous manifestations in the preceding one year [10]. In another case report, a 27-year-old female who presented with features of heart failure was found to have severe pulmonary hypertension and dilated cardiomyopathy together with pulse and blood pressure difference between two arms [11]. This patient also did not have any constitutional symptoms.…”

Takayasu’s arteritis with dilated cardiomyopathy associated with tuberculosis: A case report

“…Our case presented with hypertension and features of congestive cardiac failure. Khan et al also reported a case of TA with features of congestive cardiac failure [14].…”