Takayasu arteritis: A surgical case

Abstract

Takayasu’s Arteritis (TA), also known as pulseless disease, is a chronic large vessel vasculitis of unknown etiology that predominantly involves aorta and its major branches. Diagnosis of TA remains challenging due to non-specific symptoms in childhood. We report a 9 year old girl presenting with complaints of fever of short duration, associated with severe pain abdomen. Clinical examination revealed decreased pulses (right radial and right brachial), hypertension, hepatomegaly, increased ESR and high sensitive CRP. CT Angiography was suggestive of TA. TA must be considered in children who present with Fever and Severe Pain abdomen with nonspecific findings on abdominal examination, Decreased peripheral pulses, hypertension, and increased acute phase reactants.