Takayasu arteritis

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A systemic vasculitis of the large arteries, especially aorta

Clinical Manifestations

  • “Pulseless disease” with limb claudication or pulselessness
  • Usually onset <40 year
  • Constitutional symptoms, arterial bruits, blood pressure discrepancies between limbs, hypertension (from RAS)
  • Ischemia anywhere, really

Diagnosis

ACR Criteria

Diagnosed if three or more of the following six criteria are present:

  • Age at onset ≤40 years
  • Claudication of the extremities
  • Decreased pulsation of one or both brachial arteries
  • Difference of ≥10 mmHg between the arms
  • Bruit over one or both subclavian arteries or the abdominal aorta
  • Arteriographic narrowing or occlusion of the entire aorta, its primary branches, or large arteries in the proximal upper and lower extremities, not otherwise explained

Further Reading