Abstract

SENRA ARMAS, Luis Alfonso; SANCHEZ CABALLERO, Yanaisa; TORRES CUEVAS, Boris Luis  and  SUARDIAZ MARTINEZ, Lourdes. Hypertension as presentation of Takayasu arteritis. Rev cubana med [online]. 2015, vol.54, n.2, pp.167-174. ISSN 0034-7523.

A 19 year-old patient with hypertension is presented with 3 years of evolution, treatment, and recent onset of muscle fatigue sensation in his lower limbs. On examination it was significant the presence of a holosystolic murmur III/VI at the left sternal border, although more evident towards perceptible basis throughout the cardiac area and the large asymmetry in pulse and blood pressure between upper and lower limbs. It was found this patiente met the diagnostic criteria for Takayasu arteritis from the American College of Rheumatology including angiography. It was found the existence of concentric narrowing of the thoracic aorta, which originates almost immediately distal to the origin of the left subclavian artery and the abdominal segment extended to the height of the emergence of both renal arteries, corresponding to Hata classification type III. This patient was discharged on treatment with 60 mg of prednisone per day, antihypertensive therapy and outpatient periodic evaluation. Although there are previous reports, this form of presentation of Takayasu arteritis it is not uncommon in clinical practice, as pseudocoarctation producing hypertension, so this report is considered useful.

Keywords : Takayasu arteritis; arterial hypertension.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )