Takayasu’s Truncoarteritis in Japan

Nasu, Tsuyoshi

doi:10.1159/000162809

Cited by 12 publications

(13 citation statements)

References 2 publications

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“…The mean age at the time of delivery was 30.5 + 3.4 (range 25-37 years). Angiographic classification was performed according to Nasu's criteria [4].…”

Section: Patient Populationmentioning

confidence: 99%

Pregnancy in Takayasu arteritis from the view of internal medicine

1992

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To evaluate the influence of pregnancy on the morbid condition of Takayasu arteritis, we summarized the clinical data and pregnant courses of 18 patients with Takayasu arteritis and a total of 22 deliveries. We followed C-reactive protein (CRP) scores in 16 of 18 patients (20 of 22 deliveries) to ascertain the inflammatory condition inherent in Takayasu arteritis 1 year prior to, during, and 1 year after pregnancy. We also evaluated digital plethysmograms (pulse amplitude, pulse wave, crest time) to follow the hemodynamical condition of patients before, during, and after pregnancy. CRP scores improved significantly during pregnancy and 1 year after delivery. In the digital plethysmograms, pulse amplitude and wave also exhibited improvement after delivery, but crest time remained unchanged. This indicated that pregnancy is a state favorable to this disease. Some factors, such as the sex hormone progesterone, may induce this condition, but the details are still unknown. In conclusion, inflammatory activity and the hemodynamic state improve with pregnancy in patients with Takayasu arteritis. The physiologic aspects which cause this improvement should be maintained even after pregnancy.

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“…The mean age at the time of delivery was 30.5 + 3.4 (range 25-37 years). Angiographic classification was performed according to Nasu's criteria [4].…”

Section: Patient Populationmentioning

confidence: 99%

Pregnancy in Takayasu arteritis from the view of internal medicine

1992

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“…The atherosclerotic lesion found in SLE is thought to be basically dependent on the adverse effects of PSL , alteration of both fat metabolism and coagulationfibrinolytic system and hypertension (15)(16)(17)(18)20). In Takayasu's arteritis, the coexistence of arteritis and atherosclerosis has been reported (1 , 4-14, 21) and some of these cases showed remarkable atherosclerotic lesions in the coronary arteries as well as in other vessels (6,7,(12)(13)(14). However, in some cases the patients were relatively young and a definite conclusion that PSLwas the cause of atherosclerotic lesions could not be determined (12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

“…Takayasu's arteritis usually affects young or middle-aged women (1)(2)(3)(4), however, recently elderly patients with this disease have been described (1,(5)(6)(7). Heart failure which is a major complication of this unique disease appears to be a consequence of systemic hypertension and aortic regurgitation (1,4).…”

mentioning

confidence: 99%

“…Heart failure which is a major complication of this unique disease appears to be a consequence of systemic hypertension and aortic regurgitation (1,4). Ischemic heart disease which is commonlydue to coronary atherosclerosis in the elderly, is also reported to occur due to coronary arteritis or atherosclerosis in patients with Takayasu's arteritis (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). One can expect that advanced coronary atherosclerotic lesions overlap and/or coexist in the elderly patients with Takayasu's arteritis.…”

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confidence: 99%

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Takayasu's arteritis with heart failure due to atherosclerosis.

et al. 1990

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Anautopsy case of an elderly manwith Takayasu's arteritis and atherosclerosis is presented. Ischemic signs and symptoms including anginal attack were aggravated with activity of arteritis despite administration of prednisolone throughout the entire course. The autopsy revealed severe atherosclerosis over the aorta and its branches, and arteritis in the fibrotic stage in localized area. Vessels of vital organs including heart and kidneys, did not show Takayasu's arteritis but were atherosclerotic. This case highlights the numerous problems encountered in the treatment of elderly patients with vasculitis such as Takayasu's arteritis.

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“…For the comparison of arteriographic findings, Nasu's classification of arterial lesions was applied [2]. The classification is as follows: type 1 consists primarily of lesions of the aortic branches, type 2 of lesions of the aortic arch and its branches, type 3 includes involve- a From 81 patients examined by pulmonary scintilafion b From 5 patients examined by pulmonary scintilation NS, Not significant ment of the abdominal aorta and particularly of the renal arteries, and type 4 is the combination of types 2 and 3 ( Fig.…”

Section: Arteriographic Findings In Takayasu Arteritismentioning

confidence: 99%

Comparative studies between Japanese and Korean patients: Comparison of the findings of angiography,HLA-Bw52, and clinical manifestations

et al. 1992

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A Japan-Korea cooperative survey on Takayasu arteritis has shown some differences in the features between Japanese and Korean patients with this disease. In angiographic findings, Japanese patients more frequently had lesions at the aortic arch and/or its branches (58% of 75 cases), while, in Korean patients, the abdominal aorta is the site of relatively frequent lesions (30% of 112 cases). Higher occurrence of HLA-Bw52 was found in Japanese patients in comparison with Korean patients (46% vs 15%). The presence of HLA-Bw52, however, might have a close association with Takayasu arteritis in Korea as well as in Japan. The complications in 126 Japanese and 88 Korean patients were also compared. The complications occurring with higher frequency in Japanese patients were aortic regurgitation, ischemic heart disease, and visual disturbances, while, in Korean patients, the more frequent complications were renovascular hypertension as well as hypertension of some other etiology.

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Takayasu’s Truncoarteritis in Japan

Cited by 12 publications

References 2 publications

Pregnancy in Takayasu arteritis from the view of internal medicine

Pregnancy in Takayasu arteritis from the view of internal medicine

Takayasu's arteritis with heart failure due to atherosclerosis.

Comparative studies between Japanese and Korean patients: Comparison of the findings of angiography,HLA-Bw52, and clinical manifestations

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