Takayasu’s arteritis is a chronic inflammatory, autoimmune, granulomatous disease of the aorta and its major branches, at their origin, resulting in dilatation, occlusion, stenosis and/or aneurysm formation of these arteries. The disease usually begins in adulthood but pediatric involvement is very rare and the diagnosis is late. We report the case of a 13-year-old child admitted for respiratory distress, whose detailed clinical examination and CT angiography confirmed the diagnosis.
Cite this paper
Zerouati, K. , Rkain, M. and Babakhoya, A. (2023). Respiratory Distress Revealing Takayasu’s Disease: Case Report. Open Access Library Journal, 10, e019. doi: http://dx.doi.org/10.4236/oalib.1110019.
Emmerich, J. and Fiessinger, J.N. (1998) épidémiologie et facteurs étiologiquesdes artérites à cellules géantes (maladie de Horton et maladie deTakaysu). Annales de Médecine Interne (Paris), 149, 425-432.
Arnaud, L., et al. (2009) Absence of Mycobacterium tuberculosis in Arteriallesions from Patients with Takayasu’s Arteritis. The Journal of Rheumatology, 36, 1682-1685.
https://doi.org/10.3899/jrheum.080953
Chauhan, S., Singh, M. and Nityanand, S. (2007) Reactivity of g/d T Cells to Human 60-kd Heat-Shock Protein and Their Cytotoxicity to Aortic Endothelial Cells in Takayasu Arteritis. Arthritis & Rheumatology, 56, 2798-2802.
https://doi.org/10.1002/art.22801
Akikusa, J., Schneider, R., Harvey, E., et al. (2007) Clinical Features and Outcome of Pediatric Wegener’s Granulomatosis. Arthritis Care & Research, 57, 837-844.
https://doi.org/10.1002/art.22774
Masmoudi, S., Frikha, I., Gdoura, M., et al. (1992) La maladie de Takaysu: Critères diagnostiques et attitude thérapeu-tique. Annales de Cardiologie et d’Angéiologie (Paris), 41, A55-A61.
Fiessinger, J.N., Camilleri, J.P., Cormier, J.M. and Housset, E. (1983) La maladie de Takayasu: Le diagnostic. Annales de Médecine Interne (Paris), 134, 441-443.
Meller, J., Grabbe, E., Becker, W. and Vosshenrich, R. (2003) Value of F-18 FDG Hybrid Camera PET and MRI in Early Takayasu Arteritis. European Journal of Radiology, 13, 400-405. https://doi.org/10.1007/s00330-002-1518-8
Aluquin, V.P., Albano, S.A., Chan, F., Sandborg, C. and Pitlick, P.T. (2002) Magnetic Resonance Imaging in the Diagnosis and Follow-Up of Takayasu’s Arteritis in Children. Annals of Rheumatic Diseases, 61, 526-529.
https://doi.org/10.1136/ard.61.6.526
Tso, E., Flamm, S.D., White, R.D., Schvartzman, P.R., Mascha, E. and Hoffman, G.S. (2002) Takayasu Arteritis: Utility and Limitations of Magnetic Resonance Imaging in Diagnosis and Treatment. Arthritis & Rheumatology, 46, 1634-1642.
https://doi.org/10.1002/art.10251
Ozen, S., Duzova, A., Bakkaloglu, A., et al. (2007) Takayasu Arteritis in Children: Preliminary Experience with Cyclophosphamide Induction and Corticosteroids Followed by Methotrexate. The Journal of Pediatrics, 150, 72-76.
https://doi.org/10.1016/j.jpeds.2006.10.059
Daina, E., Schieppati, A. and Remuzzi, G. (1999) Mycophenolate Mofetil for the Treatment of Takayasu Arteritis: Report of Three Cases. Annals of Internal Medicine, 130, 422-426. https://doi.org/10.7326/0003-4819-130-5-199903020-00013
Filocamo, G., Buoncompagni, A., Viola, S., et al. (2008) Treatment of Takayasu’s Arteritis with Tumor Necrosis factor Antagonists. The Journal of Pediatrics, 153, 432-434.
https://doi.org/10.1016/j.jpeds.2008.04.049
Nishimoto, N., Nakahara, H., Yoshio-Hoshino, N. and Mima (2008) Successful Treatment of a Patient with Takayasu Arteritis Using a Humanized Anti-Interleukine-6 Receptor Antibody. Arthritis & Rheumatology, 58, 1197-1200.
https://doi.org/10.1002/art.23373
Schnaper, H.W., McClennan, B.L. and Anderson, C.B. (1987) Prolonged Survival in a Child with Renovascular Hypertension from Abdominal-Pulmonary Takayasu’s Arteritis. Pediatric Nephrology, 1, 176-179. https://doi.org/10.1007/BF00849291
Upadhyay, J., Restrepo, R., Hebert, D., Chait, P. and McLorie, G.A. (2002) Long-Term Outcome of Bilateral Autotransplantation in a Child with Takayasu’s Arteritis. Journal of Urology, 168, 2566-2567.
https://doi.org/10.1016/S0022-5347(05)64216-4
