Is Pre-Pulseless Takayasu′s Arteritis Always Treatable?

Vikas Agarwal, Latika Gupta, Ramnath Misra, Tushant Kumar and Paul Bacon

Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, India
Department of Radiodiagnosis, Dr Ram Manohar Lohia Institute of Medical Sciences, India
Rheumatology Research Group, University of Birmingham, United Kingdom

^*Correspondance to: Vikas Agarwal 

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Abstract:

TA is a rare large vessel vasculitis of unknown etiology, which is difficult to treat. Its natural history is marked by the absence of response to most therapies. The nonspecific nature of the symptoms at presentation and the absence of physical signs result in delayed diagnosis so that many cases progress to vessel stenosis before recognition. It is a common belief that early diagnosis, now possible with the development of PET scans, is imperative to limit inflammation before damage occurs in the form of pulse loss. The unique findings in our case challenge this common belief. We present a case diagnosed before any vascular deformation whose disease progressed despite aggressive therapy. TA is a rare large vessel vasculitis of unknown etiology; its natural history is marked by the absence of response to most therapies.

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Cite the Article:

Agarwal V, Gupta L, Misra R, Kumar T, Bacon P. Is Pre-Pulseless Takayasu′s Arteritis Always Treatable?. Ann Clin Case Rep. 2017; 2: 1307.