title: Type III Takayasu's arteritis in a pediatric patient. Case report and review of the literature.
abstract: Takayasu’s arteritis (TA), also known as "pulseless disease", is the third most common vasculitis in childhood. It is a chronic, idiopathic, granulomatous vasculitis that involves large vessels. It occurs most commonly in females with a 4:1 ratio over males; the average age of appearance is 26 years. Its cause is unknown. Here we report the case of a 7-year-old girl, with type III TA according to the Numano classification, in the ischemic phase, treated with corticosteroids and immunosuppressive agents and early angioplasty due to the severity of the disease. The outcome was satisfactory. The diagnosis of TA in children under 10 years of age is made only in 2% of them. The delay in diagnosis reaches a mean of 19 months. The course of the disease is variable despite surgical and immunosuppressive treatment.
authors.affiliation: Servicio de Reumatología, Hospital Infantil de México Federico Gómez, México DF, México. karlamendiola@hotmail.com
authors.forename: Karla
authors.initials: K
authors.lastname: Mendiola Ramírez
authors.forename: Astrid Cristina
authors.initials: AC
authors.lastname: Portillo Rivera
authors.forename: Abraham
authors.initials: A
authors.lastname: Galicia Reyes
authors.forename: José Antonio
authors.initials: JA
authors.lastname: García Montes
authors.forename: María del Rocío
authors.initials: Mdel R
authors.lastname: Maldonado Velázquez
authors.forename: Enrique
authors.initials: E
authors.lastname: Faugier Fuentes
mesh_terms: D000792:Angiography / Q000379:methods; D017130:Angioplasty; D000959:Antihypertensive Agents / Q000627:therapeutic use; D006328:Cardiac Catheterization; D002648:Child; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology; D017379:Hypertrophy, Left Ventricular / Q000209:etiology; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000473:pathology; D008727:Methotrexate / Q000627:therapeutic use; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology; D015607:Stents; D013625:Takayasu Arteritis / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D014815:Vitamins / Q000627:therapeutic use
chemical_list: D000959:Antihypertensive Agents; D005938:Glucocorticoids; D014815:Vitamins; D008727:Methotrexate