Pre-pulseless Takayasu Arteritis Presenting with Hypertension

Authors

  • SM Shaheedul Islam Associate Professor & Consultant in Paediatric Cardiology, Ibrahim Cardiac Hospital & Research Institute (ICHRI), Dhaka
  • Sahela Nasrin Associate Consultant & Assistant Professor, ICHRI, Dhaka
  • F Aaysha Cader Resident in Cardiology, ICHRI, Dhaka
  • M Maksumul Haq Professor & Head, Department of Cardiology, ICHRI, Dhaka
  • Syed Dawood Md Taimur Associate Consultant & Assistant Professor, ICHRI, Dhaka

DOI:

https://doi.org/10.3329/jbcps.v35i2.33371

Keywords:

Takayasu arteritis, Pre-pulseless phase, Aortic regurgitation, Hypertension

Abstract

Takayasu arteritis (TA) is a chronic granulomatous vasculitic disease of the aorta and its major branches, predominantly affecting young females of Asian origin. Also known as Aortic arch syndrome, the condition has been better documented as the Pulse less disease leading to claudication, bruits, absent or reduced brachial or radial pulses and aortic incompetence. However, a prepulseless stage of TA exists, characterized by non-specific constitutional symptoms, hypertension and raised inflammatory markers. We report the case of an 18- year-old Bangladeshi female presenting with hypertension, moderate to severe aortic regurgitation (AR) and fever, diagnosed and treated as a case of pre-pulseless TA.

J Bangladesh Coll Phys Surg 2017; 35(2): 91-96

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Author Biography

SM Shaheedul Islam, Associate Professor & Consultant in Paediatric Cardiology, Ibrahim Cardiac Hospital & Research Institute (ICHRI), Dhaka



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Published

2017-07-29

How to Cite

Islam, S. S., Nasrin, S., Cader, F. A., Haq, M. M., & Md Taimur, S. D. (2017). Pre-pulseless Takayasu Arteritis Presenting with Hypertension. Journal of Bangladesh College of Physicians and Surgeons, 35(2), 91–96. https://doi.org/10.3329/jbcps.v35i2.33371

Issue

Section

Case Reports