Document Detail


Takayasu's arteritis and chronic autoimmune thyroiditis in a patient with type 1 diabetes mellitus.
MedLine Citation:
PMID:  15818512     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Takayasu's arteritis is a rare, chronic inflammatory disease of unknown origin, affecting the walls of the aorta and its main branches, as well as coronary and pulmonary arteries. The inflammation of the arteries may lead to stenosis, occlusions, dilatations, and aneurysms of involved vessels. It is relatively common in Asia and the Far East but is rare in the Western Hemisphere. We present the case of a 36-year-old white woman with a history of type 1 diabetes mellitus and chronic autoimmune thyroiditis who complained of easy fatigability in the upper limbs, with absent arterial pulses in the upper limbs and audible bruits over both subclavian and left common carotid arteries. Intra-arterial digital subtraction angiography revealed complete or subtotal obliteration of the aortic arch's branches, with the brain supplied with blood only by the left vertebral artery originating directly from the aortic arch. We diagnosed Takayasu's arteritis with abnormal origin of the left vertebral artery. To the best of our knowledge, our case of Takayasu's arteritis and chronic autoimmune thyroiditis in a type 1 diabetic patient with abnormal origin of the left vertebral artery is the first one ever described.
Authors:
Josko Bulum; Nikica Car; Lea Smircic-Duvnjak; Sonja Gracin; Zeljko Metelko
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-11-11
Journal Detail:
Title:  Clinical rheumatology     Volume:  24     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-08     Completed Date:  2005-08-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  169-71     Citation Subset:  IM    
Affiliation:
University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Vuk Vrhovac, Dugi Dol 4a, 10 000, Zagreb, Croatia. josko.bulum@zg.htnet.hr
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Aorta / pathology
Chronic Disease
Diabetes Mellitus, Type 1 / complications*
Female
Humans
Takayasu Arteritis / complications*,  pathology
Thyroiditis, Autoimmune / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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