Akademik Veri Yönetim Sistemi
8th INTERCONTINENTAL EMERGENCY MEDICINE CONGRESS, Antalya, Türkiye, 14 - 17 Ekim 2021, ss.41
ABSTRACT
Takayasu arteritis (TA) is a rare disease of unknown etiology characterized by chronic inflammation involving large and medium arteries, especially the aorta and its main branches. In this case report, we aimed to present a TA case who applied to the emergency department with non-specific complaints such as headache and chest pain.
A 62-year-old female patient was admitted to the emergency department with chest pain and headaches which has 2 weeks. The pain was hitting his left arm. She had a history of known hypertension. On physical examination, arterial blood pressure was 215/145mmHg in the left arm and 160/90mmHg in the right arm. The radial pulse in the left upper extremity of the patient and the dorsalis pedis pulses in the left lower extremity could not be taken. it was determined that the abdominal aorta was 100% occluded before the iliac bifurcation and flow was provided by collaterals to the distal bedside. . A diagnosis of TA was thought by rheumatology.
In conclusion, the diagnosis of Takayasu’s arteritis is usually delayed because the early nonspecific systemic symptoms are not TA specific. TA should also be kept in mind in the differential diagnosis of patients aged 40 years or older who present with nonspecific symptoms and have a blood pressure difference of more than 10 mmHg between the arms on physical examination.
KEYWORDS: Takayasu arteritis, emergency department, chest pain