Document Detail


Report of a case with surprising etiology of renovascular hypertension.
MedLine Citation:
PMID:  16370157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Takayasu arteritis is a chronic, idiopathic, inflammatory disease that primarily affects large vessels, such as the aorta and its main branches. Epidemiologically, it is found mostly in female patients and is more prevalent in Asian and Latin American countries. Disease may be heterogeneous in presentation. In this report, we present a different clinical expression of Takayasu arteritis in a young man who had hypertension as the sole manifestation of multiple critical arterial involvement with elevated inflammation markers but no other symptoms. A 28-year-old man was admitted with hypertension. There was no evidence for systemic vasculitis by history, serologic studies or other laboratory data. The acute-phase reactants were elevated with an erythrocyte sedimentation rate of 55 mm/h, and a C-reactive protein value of 22 mg/dl. Digital subtraction angiography showed multiple severe stenoses or occlusions of the branches of the abdominal aorta and arcus aortae together with bilateral renal artery involvement. The etiology of renovascular hypertension was found to be Takayasu arteritis with the presence of at least three criteria, as outlined by the American College of Rheumatology in 1990. Patients with Takayasu arteritis may have atypical clinical expression of the disease, and a diagnosis of Takayasu arteritis should be kept in mind in the differential diagnosis of renovascular hypertension in young subjects, even if they do not have associated symptoms of multiple arterial involvement.
Authors:
A Zumrutdal; F Tercan; L Oguzkurt; S Sezer; F Nurhan Ozdemir
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nephrology     Volume:  64     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-22     Completed Date:  2006-03-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  444-7     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Faculty of Medicine, Baskent University, Adana Teaching and Research Center, Ankara, Turkey. azumrutdal@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Humans
Hypertension, Renovascular / etiology*,  therapy
Male
Takayasu Arteritis / complications*,  diagnosis,  therapy

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