title: [How to manage Takayasu arteritis?].
abstract: Thorough clinical and imaging assessment of the arterial tree when a diagnosis of Takayasu arteritis is established. Glucocorticoïd as intiation therapy. Immunosuppresive agent should be considered as adjunctive therapy if resistance or dependance to glucocorticoïd therapy. Supportive care, antihypertensive drugs, glucocorticoïd induced osteoporosis preventive therapy, tuberculosis screening should not be forgiven. Monitoring of therapy should be clinical and supported by biological markers and imaging. Reconstructive surgery should be performed in the quiescent phase of disease.
authors.affiliation: Pôle cardiovasculaire, hôpital européen Georges-Pompidou, université Paris-Descartes, unité de médecine vasculaire, Paris, France. tristan.mirault@egp.aphp.fr
authors.forename: Tristan
authors.initials: T
authors.lastname: Mirault
authors.forename: Joseph
authors.initials: J
authors.lastname: Emmerich
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D003952:Diagnostic Imaging; D003935:Diagnostic Techniques, Cardiovascular; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D020360:Neoadjuvant Therapy; D013625:Takayasu Arteritis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
chemical_list: D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents