La maladie de Takayasu dans la région centre de la Tunisie. À propos de 27 cas

Jaafoura, Neirouz Ghannouchi; Khalifa, M.; Rezgui, A.; Alaoua, A.; Jazia, E. Ben; Braham, A.; Kechrid, C. Laouani; Mahjoub, S.; Ernez, S.; Boughzéla, Essia; M, Ben Farhat; Létaief, A.; Bahri, F.

doi:10.1016/j.jmv.2009.09.002

Cited by 10 publications

(7 citation statements)

References 20 publications

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“…These data contrast, however, with the 29.6% of a Tunisian series, in which the ischemic signs were the predominant mode of revelation 81.5% [17].…”

Section: Discussionmentioning

confidence: 59%

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Takayasu Disease in Niger: About Three Cases and Literature Review

Adéhossi¹,

Charfo²,

Brah³

et al. 2019

OJIM

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Takayasu arteritis is a chronic, idiopathic, and inflammatory disease that primarily affects large vessels, such as the aorta and its main branches. Much of the literature describing Takayasu arteritis has originated from Asian countries, and the disease was once thought to be restricted to these regions. During the past few decades, patients with Takayasu arteritis have been increasingly recognized in Africa. We report three first cases of Takayasu's arteritis in Niger by focusing on epidemiological clinical radiological and therapeutic aspects. Of the three patients, two were women and the age of onset was 27 years in one case and 33 years in the other two cases. Clinically, abolition of at least one peripheral pulse was constantly observed. We find a predominance of the involvement of the supra-aortic trunks in 3 cases and less of the abdominal aortic involvement in 1 case. Moreover, our series is distinguished by a case revealed by a stroke in a male subject. Corticosteroids were successful with clinical improvement and stabilization of the disease in the short and medium term. The revascularization performed in two of the patients. Tayasu arteritis is uncommon disease that must be evoked before a symptomatology non-specific coaches and lead to check the pulse. Ischemic complications are already present at the time of diagnosis. We have found a high frequency of arterial thrombosis in our series.

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“…These data contrast, however, with the 29.6% of a Tunisian series, in which the ischemic signs were the predominant mode of revelation 81.5% [17].…”

Section: Discussionmentioning

confidence: 59%

“…The most commonly reported signs are pulse abolition, blood pressure asymmetry, vascular murmurs [17], valvulopathy, arterial hypertension. Cases of coronary artery disease [5] and heart failure are also noted [18].…”

Section: Discussionmentioning

confidence: 99%

Takayasu Disease in Niger: About Three Cases and Literature Review

Adéhossi¹,

Charfo²,

Brah³

et al. 2019

OJIM

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“…Most of the data from Africa has been published from Tunisia. Ghannouchi et al [14] in a review of 37 Takayasu patients from 1985 to 2005 noted a mean age at presentation of 33.2 years (range 16 -68 years) and found that 88.9% were female. Intermittent claudication was the most common presentation (81.5%) and hypertension was noted in 40.7% of cases.…”

Section: Discussionmentioning

confidence: 99%

Late Diagnosis of Takayasu Disease in a 50-Year-Old African Black Woman with Repeated Episodes of Heart Failure: Seeing the Forest through the Trees—A Case Report

Ba¹,

Diack²,

Affangla³

et al. 2020

WJCD

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Background: First described in 1908, TAK has now been recognized as a non-specific inflammatory disease of unknown etiology, predominantly affecting young females. Sometimes, it progresses into relatively rare and potentially fatal scenarios such heart failure. Case Presentation: Here, we present the case of a 50-year sub-saharan female suffering from acute heart failure related to TAK. Despite constitutional symptoms (fever, malaise, weight loss) and more characteristic features such claudication of lower extremities, carotydinia, and pulseless syndrome, diagnosis of TAK was delayed since main presentation was heart failure. Immunosuppressive and anticoagulant therapies have induced improvement in cardiac manifestations. Conclusion: Early diagnosis and proper treatment can protect the patient from dangerous complications such heart failure.

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“…Intermittent claudication was the most common presentation (81.5%) and hypertension was noted in 40.7% of cases. The subclavian artery was the most frequently affected site in this cohort [ 3 ]. Another retrospective study done in southern Tunisia by Kechaou et al between 1996 and 2006 collected and analyzed 29 patients (25 females and 4 males).…”

Section: Large-vessel Vasculitismentioning

confidence: 99%

Vasculitis in Africa

2018

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Purpose of ReviewSystemic vasculitides are characterized by inflammation of blood vessel walls leading to a myriad of organ disorders depending on the size, site, and location of the affected blood vessel. The epidemiology of vasculitis in the developing world has been inadequately documented. The description of the vasculitides in Africa, both from hospital series as well as taking into consideration, previous epidemiological studies in the community, indicates that these conditions have been rare until relatively recently. In view of these past observations, this review of publications on the topic looks to shed light on the current state of vasculitis in Africa.Recent FindingsTakayasu and Kawasaki appear to be the most commonly reported vasculitides in Africa. Most of the published reports are from North and South Africa. Furthermore, the contribution of vasculitis associated with infections, and in particular HIV, is significant.SummaryThere are increasing numbers of publications reflecting a growing recognition of the vasculitides in Africa.

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La maladie de Takayasu dans la région centre de la Tunisie. À propos de 27 cas

Cited by 10 publications

References 20 publications

Takayasu Disease in Niger: About Three Cases and Literature Review

Takayasu Disease in Niger: About Three Cases and Literature Review

Late Diagnosis of Takayasu Disease in a 50-Year-Old African Black Woman with Repeated Episodes of Heart Failure: Seeing the Forest through the Trees—A Case Report

Vasculitis in Africa

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