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Case Reports
. 2023 Mar;23(1):781-784.
doi: 10.4314/ahs.v23i1.82.

Takayasu arteritis, an atypical presentation as chronic kidney disease

Vijayan Neeraja  1 , Vihari Nakka  1 , Meena Mahadev  1   2   3 , Midha Naresh  1 , Yadav Taruna  2 , Sakthivadivel Varatharajan  3
Affiliations
Case Reports

Takayasu arteritis, an atypical presentation as chronic kidney disease

Vijayan Neeraja et al. Afr Health Sci. 2023 Mar.

Abstract

Takayasu arteritis, also known as "pulseless disease" usually affects major vessels like aorta and its branches, pulmonary arteries, and renal arteries. Hypertension is the common presentation. Chronic kidney disease involvement is less common. Only a few chronic kidney disease cases are reported so far in Takayasu arteritis. We discuss a case of a young female who presented with accelerated hypertension with chronic kidney disease with preserved peripheral pulses. The diagnosis was confirmed by Computed tomography aortic angiogram, which showed diffuse circumferential thickening, multifocal ectasia, and aneurysmal dilatation with few saccular outpouchings of the aortic arch, descending thoracic and abdominal aorta (Type V). The patient was treated with steroids, antihypertensives, antiplatelet, and hemodialysis.

Keywords: Takayasu arteritis; chronic kidney disease; thrombocytopenia.

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Figures

Figure 1
Figure 1
Computed tomography aortic angiogram Legend: (a) Coronal image shows diffuse circumferential mural thickening of descending thoracic and abdominal aorta. (b) 3D-Volume rendered (VR) image depicts multifocal ectasia and aneurysmal dilatation of descending aorta with few saccular outpouchings. (c) Axial maximum intensity projection (MIP) image shows bilateral thin calibre renal arteries (red arrows). (d) Coronal image showing bilateral small kidneys (white arrows).
See this image and copyright information in PMC

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