Takayasu's Arteritis Accompanied with Massive Pericardial Effusion

Narita, Hitomi; Ohte, Nobuyuki; Yoneyama, Ayako; Hashimoto, Toko; Akita, S; Sakuma, Nagahiko

doi:10.1177/000331979905000509

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…Our case further illustrates the possibility of having a long systemic phase before the onset of definite vascular symptoms. Pericardial involvement is also a rare manifestation of TA, reported by only a few authors [7]. …”

Section: Discussionmentioning

confidence: 99%

Bronchiectasis and hoarseness of voice in takayasu arteritis: a rare presentation

et al. 2012

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BackgroundTakayasu arteritis is a large vessel vasculitis occurring in young females. We report a rare presentation of Takayasu arteritis in a Sri Lankan woman. She presented with bronchiectasis and left recurrent laryngeal nerve palsy prior to the onset of vascular symptoms. This case illustrates an atypical presentation of this disease and the diagnostic dilemma that the physician may be faced with.Case presentationA 39-year-old woman presented with chronic cough, haemoptysis and hoarseness of voice. She had left recurrent laryngeal nerve palsy and high inflammatory markers on investigation. CT thorax revealed aortic wall thickening and traction bronchiectasis. 2 D echocardiogram revealed grade 1 aortic regurgitation compatible with aortitis. She did not have weak peripheral pulses or a blood pressure discrepancy and did not meet American College of Rheumatology (ACR) criteria for diagnosis of Takayasu arteritis at this stage. Tuberculosis, syphilis and sarcoidosis was excluded. While awaiting angiography, she developed left arm claudication and a pericardial effusion. Angiography revealed evidence of Takayasu arteritis and absence of flow in the left subclavian artery. Takayasu arteritis was diagnosed at this stage after a period of eight months from the onset of initial symptoms. She is currently on prednisolone, azathioprine and aspirin.ConclusionBronchiectasis and recurrent laryngeal nerve palsy is a rare presentation of Takayasu arteritis. Atypical presentations can occur in Takayasu arteritis prior to the onset of vascular symptoms. Elevation of inflammatory markers are an early finding. A high degree of suspicion is needed to identify these patients in the early course of the disease.

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Section: Discussionmentioning

confidence: 99%

Bronchiectasis and hoarseness of voice in takayasu arteritis: a rare presentation

et al. 2012

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“…In this early stage only concentric wall thickening of vessels usually evidenced by sonography, CT or MRI in combination with abnormal laboratory findings reflecting an inflammatory process may lead to the suspicion of a vasculitis [3,4]. To the best of our knowledge only four cases of TA with pericardial effusion have been reported so far [5][6][7][8], but only in one case the pericardial effusion was the primary manifestation [5]. All the other cases showed other cardiac abnormalities [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge only four cases of TA with pericardial effusion have been reported so far [5][6][7][8], but only in one case the pericardial effusion was the primary manifestation [5]. All the other cases showed other cardiac abnormalities [6][7][8].…”

Section: Discussionmentioning

confidence: 99%