title: Chest pain and hypertension in an 18 year old girl.
abstract: We describe the case of an 18 year old lady who presented with chest pain, breathlessness and hypertension. The initial diagnosis of renal artery stenosis, while correct, was incomplete. The finding of a reduced right radial pulse suggested the possibility of a large vessel vasculitis. She was also found to have critical coronary artery disease that required stenting and aortic incompetence. Renal artery stenting was also performed. Additional investigations confirmed Takayasu's arteritis. With immunosuppressive therapy and stenting she is now well and normotensive but may require aortic valve replacement in the future.
authors.affiliation: AMNCH, Tallaght, Dublin 24.
authors.forename: A L
authors.initials: AL
authors.lastname: Dudina
authors.forename: D P
authors.initials: DP
authors.lastname: Moore
authors.forename: B
authors.initials: B
authors.lastname: Keogh
authors.forename: D
authors.initials: D
authors.lastname: Foley
authors.forename: I M
authors.initials: IM
authors.lastname: Graham
mesh_terms: D000293:Adolescent; D002637:Chest Pain / Q000175:diagnosis / Q000503:physiopathology; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D012078:Renal Artery Obstruction; D013625:Takayasu Arteritis / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery
chemical_list: D007166:Immunosuppressive Agents