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Case Reports
. 2015 Jun 23:2015:bcr2014208717.
doi: 10.1136/bcr-2014-208717.

Takayasu's or tuberculous arteritis?

Carlos Moura  1 , Mauricio Antonio Aquino  1 , Jose Rocha Filho  1 , Mittermayer Santiago  2
Affiliations
Case Reports

Takayasu's or tuberculous arteritis?

Carlos Moura et al. BMJ Case Rep. .

Abstract

Takayasu's arteritis (TA) is a large vessel vasculitis of unknown aetiology characterised by involvement of the aorta and its major branches. Tuberculous arteritis of the aorta is an uncommon condition usually secondary to the dissemination of Mycobacterium tuberculosis infection from the mediastinum and/or lung to the adjacent aorta; this may mimic TA. We report a case of a 23-year-old woman with cutaneous granulomatous vasculitis and saccular aneurysmal dilation of the aorta and large vessels, and highlight the findings shared by TA and tuberculous arteritis.

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Figures

Figure 1
Figure 1
Cutaneous nodular hyperchromic lesions.
Figure 2
Figure 2
(A) Signs of small airway disease and mucoid bronchiolar impaction in the anterior segment of the upper left lobe (arrow) suggesting tuberculosis. (B) The same finding in the apicoposterior segment, extending to the aortic arch, indicating the probable dissemination route to the aortic arch.
Figure 3
Figure 3
(A) Thickening of the aortic wall (straight arrow) and pseudoaneurysm in the aortic arch (curved arrow). (B) Occlusion of the lower lobe branch of the right pulmonary artery.
See this image and copyright information in PMC

References

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