Takayasu disease revealed by bilateral loss of vision.
OBJECTIVE
Takayasu arteritis is a nonspecific granulomatous inflammatory arteriopathy of unknown cause, most frequently diagnosed in young Asian women. The authors present an atypical initial presentation of Takayasu disease with bilateral loss of vision in a young Haitian man.


METHODS
Case report.


RESULTS
The presenting feature was bilateral loss of vision, a result of malignant hypertensive retinopathy and choroidopathy. Systemic evaluation disclosed inflammatory signs and renal artery obstruction which caused the malignant hypertension.


CONCLUSIONS
This case, involving an unusual presentation of Takayasu disease, illustrates how a malignant hypertensive retinopathy and choroidopathy led to the ultimate diagnosis of Takayasu disease.
From the Departments of *Ophthalmology and †Internal Medicine, Hospital Avicenne, Assistance Publique des Hôpitaux de Paris, Bobigny, France.
Charlotte
C
Rohart
Sébastien
S
Abad
Isabelle
I
Badelon
Franck
F
Fajnkuchen
Ursula
U
Warzocha
Robin
R
Dhôte
Gilles
G
Chaine