Abstract

DUFRECHOU, Carlos; CEDRES, Santiago; ROBAINA, Rosanna  and  BAGATTINI, Juan Carlos. Arteritis de Takayasu: Revisión de criterios diagnósticos y terapéuticos a propósito de un caso clínico. Rev. Méd. Urug. [online]. 2006, vol.22, n.3, pp.236-240. ISSN 1688-0390.

Summary A case report of a woman carrier of Takayasu arteritis with coronary injuries is presented. The patient reached five out of six criteria of the American College of Rheumatology and five out of seven diagnostic criteria of Ishikawa.The woman was admitted to the hospital because of coronary symptoms with unstable angor of high risk. She underwent cineangiocoronarygraphy that showed significant coronary injuries; two stents were implanted in the affected arteries.The association between injuries and atherosclerotic degenerative disease was analyzed due to the profusion of vascular risk factors seen in the patient: diabetes, hypertension, dyslipidemia and smoking. Clinical history is adjusted to a predominance of inflammatory over degenerative injuries since we considered a coexistence of both diseases. Post corticosteroid treatment follows up coincided with our findings: dramatic improvement in general conditions, decrease of erythrocyte sedimentation rates, and anemia improvement. Vascular injuries improvement was not demonstrated, there was no significant difference between prior and post steroid treatment aortography. This is congruent with international experience since injuries have a scared fibrous component, without improvement under antimflammatory treatment.

Keywords : ARTERITIS DE TAKAYASU [diagnóstico]; ARTERITIS DE TAKAYASU [ terapia].

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