[Fulminant course of a Takayasu's arteritis and rare mesenteric arterial maninfestion].
Takayasu's arteritis is a systemic disease, presenting as chronic inflammation of the main arteries. It usually affects the aorta and its large branches. General symptoms often include fatigue, subfebrile temperatures and weight loss. Complaints due to perfusion disorders are, for example, muscle pain, dizziness or claudication. Takayasu's arteritis is a rare disease which generally occurs in female patients under 40 years of age. We report on a patient with primary involvement of the mesenteric arteries. The disease process was fulminant and refractory to all therapeutic strategies. According to our knowledge this is the first case report from Germany of Takayasu's arteritis with mesenteric infarction.
Simon
S
S
Medizinische Klinik, Evangelisches Krankenhaus, Steinweg 13-17, 26122 Oldenburg. steffensimon@t-online.de
Schittko
G
G
Bösenberg
H
H
Holl-Ulrich
K
K
Schwarz-Eywill
M
M
D000792:Angiography; D001012:Aorta, Abdominal / Q000473:pathology; D001025:Aortitis / Q000175:diagnosis / Q000188:drug therapy; D001027:Aortography; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000188:drug therapy; D002445:Celiac Artery / Q000473:pathology; D003082:Colectomy; D003106:Colon / Q000098:blood supply / Q000601:surgery; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000627:therapeutic use; D018450:Disease Progression; D004359:Drug Therapy, Combination; D000068800:Etanercept; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000627:therapeutic use; D007511:Ischemia / Q000601:surgery; D007583:Jejunum / Q000098:blood supply / Q000601:surgery; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D018124:Receptors, Tumor Necrosis Factor / Q000627:therapeutic use; D013625:Takayasu Arteritis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
D007074:Immunoglobulin G; D018124:Receptors, Tumor Necrosis Factor; D003520:Cyclophosphamide; D011239:Prednisolone; D000068800:Etanercept; D008727:Methotrexate