Arteritis de Takayasu y aneurisma gigante en escolar. Reporte de caso

Vallejo, Ernesto; Montero, Francisco J.; Rojas, Juan P.

doi:10.1016/S0120-5633(12)70144-4

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Estadísticas

La arteritis de Takayasu es una vasculitis de grandes vasos que afecta a la aorta y sus ramas principales, llevando a estenosis y trombosis, así como a la formación de aneurismas. Se reporta una incidencia global de 2,6 casos por millón por año, siendo baja en niños. La terapia de elección son los corticoides, seguidos de inmunosupresores en casos de resistencia.

Se reporta el caso clínico de un paciente con arteritis de Takayasu con formación de aneurisma gigante de la aorta.

Palabras clave:

aneurisma complejo

aorta

trombosis

Takayasu's arteritis is a vasculitis of large vessels that affects the aorta and its major branches, leading to stenosis and thrombosis, as well as aneurysm formation. An overall incidence of 2.6 cases per million per year has been reported, being lower in children. Corticosteroids are the therapy of choice, followed by immunosuppressants in cases of resistance.

We report the case of a patient with Takayasu's arteritis with formation of giant aneurysm of the aorta.

Keywords:

complex aneurysm

aorta

thrombosis

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Bibliografía

[1.]

F. Numano, M. Okawara, H. Inomata, Y. Kobayashi.

Takayasu's arteritis.

Lancet, 356 (2000), pp. 1023-1025

http://dx.doi.org/10.1016/S0140-6736(00)02701-X | Medline

[2.]

K.A. Taubert.

Epidemiology of Kawasaki disease in the United States and worldwide.

Prog Pediatr Cardiol, 6 (1997), pp. 181-185

[3.]

S.T. Shulman, J.B. McAuley, L.M. Pachman, M.L. Miller, D.G. Ruschhaupt.

Risk of coronary abnormalities due to Kawasaki disease in urban area with small Asian population.

Am J Dis Child, 141 (1987), pp. 420-425

Medline

[4.]

H. Yanagawa, Y. Nakamura, M. Yashiro, T. Ojima, H. Koyanagi, T. Kawasaki.

Update of the epidemiology of Kawasaki disease in Japan-from the results of the 1993-1994 nationwide survey.

J Epidemiol, 6 (1996), pp. 148-157

Medline

[5.]

C.A. Cañas, C.A. Jiménez, L.A. Ramírez, O. Uribe, I. Tobón, A. Torrenegra, et al.

Takayasu in Colombia.

Int J Cardiol, 66 (1998), pp. 73-79

Medline

[6.]

S. Opastirakul, W. Chartapisak.

Sirivanichai Ch. A girl with Takayasu's arteritis associated with possible systemic lupus erythematosus.

Pediatr Nephrol, 19 (2004), pp. 463-466

http://dx.doi.org/10.1007/s00467-003-1406-8 | Medline

[7.]

C. Saieh, E. Yurlow, J.D. Arce, et al.

Arteritis de Takayasu en un lactante.

Bol Med Hosp Inf Mex, 2 (1985), pp. 135-139

[8.]

W.P. Arend, B.A. Michel, D.A. Bloch, et al.

The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis.

Arthritis Rheum, 33 (1990), pp. 1129-1134

Medline

[9.]

R. Moriwaki, M. Noda, M. Yajima, B.K. Sharma, F. Numano.

Clinical manifestations of Takayasu arteritis in India and Japan: new classification of angiographic findings.

Angiology, 48 (1997), pp. 369-379

Medline

[10.]

F. Tavora, A. Burke.

Review of isolated ascending aortitis: differential diagnosis, including syphilitic, Takayasu's and giant cell aortitis.

Pathology, 38 (2006), pp. 302-308

http://dx.doi.org/10.1080/00313020600820898 | Medline

[11.]

S.L. Johnston, R.J. Lock, M.M. Gompels.

Takayasu arteritis: a review.

J Clin Pathol, 55 (2002), pp. 481-486

Medline

[12.]

W.A. Schmidt, E. Gromnica-Ihle.

What is the best approach to diagnosing large vessel vasculitis?.

Best Practice & Research Clinical Rheumatology, 19 (2005), pp. 22342

http://dx.doi.org/10.1016/j.jsat.2015.01.009 | Medline

[13.]

E.Y. Kissina, P.A. Merkela.

Diagnostic imaging in Takayasu arteritis.

Current Opinion in Rheumatology, 16 (2004), pp. 31-37

Medline

[14.]

M. Aguirre, C.A. Restrepo.

Arteritis de Takayasu en una joven de 15 años.

Presentación de casos. Acta Med Colomb, 30 (2005), pp. 281-284

[15.]

B. Juergen, M. Brian, N. Pascal, et al.

Takayasu arteritis in children and adolescents.

Rheumatology, 49 (2010), pp. 1806-1814

http://dx.doi.org/10.1093/rheumatology/keq167 | Medline

[16.]

T. Miyata, O. Sato, H. Koyama, H. Shigematsu, Y. Tada.

Long-term survival alter surgical treatment of patients with.

Takayasu's arteritis Circulation, 108 (2003), pp. 1474-1480

[17.]

C.E. Fields, T.C. Bower, L.T. Cooper, et al.

Takyasu's arteritis: operative results and influence of disease activity.

J Vasc Surg, 43 (2006), pp. 64-71

http://dx.doi.org/10.1016/j.jvs.2005.10.010 | Medline

[18.]

M.C. Park, S.W. Lee, N.S. Chung, S.K. Lee.

Clinics characteristics and outcomes of Takayasu's arteritis: analysis of 108 patients using standardized criteria for diagnosis, activity assesment and angiographic classification.

Scand J Rheumatol, 34 (2005), pp. 284-292

http://dx.doi.org/10.1080/03009740510026526 | Medline

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