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Glomerular Disease Associated with takayasu arteritis:6 Cases Analysis and Review of the Literature

Chinese Medical Sciences Journal 2009年第2期24卷 69-75页

作者： Xue-mei Li Wen-ling Ye Yu-bing Wen Hang Li Li-meng Chen Dong-yan Liu Xue-jun Zeng Xue-wang Li Department of Nephrology Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 China Department of General Medicine Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 China

Objective To evaluate the clinical features,renal histopathology and therapeutic response to glucocorticoid and immunosuppressive agents in patients with glomerular disease associated with takayasu arteritis(TA).Methods Patients with TA and renal biopsy-confirmed glomerular disease were investigated *** of them had renal artery stenosis or occlusive *** Six patients with glomerulopathy,accounting for 3.75% of the 160 TA patients admitted to our hospital at the same period,were *** of them were females with a mean age of 35.5 ± 10.0 *** cases presented with lower extremity *** tests showed that one was nephrotic syndrome,three were nephrotic range proteinuria,and two of them had mild renal *** other two patients were asymptomatic microscopic hematuria and *** pathology revealed mild immunoglobulin A nephropathy in two cases,mild mesangial proliferative glomerulonephritis(GN),membranoproliferative GN,minimal change disease,and fibrillary GN in one case *** cases received glucocorticoids and cyclophosphamide *** and microscopic hematuria disappeared in 2 to 4 weeks after the initiation of therapy in three *** patient with membranoproliferative GN also reached complete remission of proteinuria and recovered renal function 6 months after the *** TA may induce glomerular disease as a part of its histological *** from ischemic glomerular disease,glomerular disease should be suspected when TA patients have microscopic hematuria or proteinuria,that may be therapeutically responsive to glucocorticoids and immunosuppressive agent in relative early phase.

关键词： takayasu arteritis glomerular disease glomerulonephritis

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Unilateral pleural effusion secondary to takayasu arteritis: a case report and literature review

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The Journal of Biomedical Research 2022年第2期36卷 141-144页

作者： Ling Chen Ting Ma Liang Wang Lixin Wang Minmin Li Rong Zhu The Huai'an Clinical College of Xuzhou Medical University Huai'anJiangsu 223300China Department of Respiratory Medicine Huai'an First People's HospitalHuai'anJiangsu 223300China

takayasu arteritis (TA) is a chronic, nonspecific inflammatory disease of large and medium-sized vessels that primarily involves the aorta and its branches. TA involving the pulmonary arteries has a prevalence ranging from 14% to 86%, which can lead to pulmonary hypertension, a progressive increase in pulmonary artery pressure, and eventually death from right heart failure. The presentation of pulmonary arteritis (PA) is very nonspecific, with a reported misdiagnosis rate of up to 60% and a diagnosis time ranging from 1 month to more than 10 years. The clinical manifestation of pleural effusion is very rare in both TA and PA cases. Based on our literature review, this is the 6th reported case of TA with pleural effusion, and the specific mechanism of TA with pleural effusion is still unclear. The characteristics of this case and the previously reported cases are summarized in this article to improve the understanding of TA and PA and reduce the misdiagnosis rate.

关键词： takayasu arteritis pulmonary arteritis pleural effusion case report literature review

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Neurological Manifestations of takayasu arteritis

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Chinese Medical Sciences Journal 2011年第4期26卷 227-230页

作者： Li-xin Zhou Jun Ni Shan Gao Bin Peng Li-ying Cui Department of Neurology Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 China

Objective To investigate the clinical neurological manifestations of takayasu arteritis (TA). Methods A retrospective study was conducted with 63 consecutive TA cases admitted to Peking Union Medical College Hospital from January 2009 to May 2010. All the patients fulfilled the diagnostic criteria of TA by the American College of Rheumatology. Among the 63 TA patients, 27 with neurological manifestations were included in the present study. All the patients were evaluated using standardized neurological examination, sonography, computed tomography (CT) angiography, and cerebral CT or magnetic resonance imaging. Results Dizziness and visual disturbance were the most common symptoms, which occurred in 20 (74.1%) and 16 (59.3%) patients respectively. Another common symptom was headache, observed in 15 (55.6%) patients. Six (22.2%) patients had suffered from ischemic stroke; 7 (25.9%) patients had epileptic seizures. Two (7.4%) patients were diagnosed as reversible posterior encephalopathy syndrome (RPES) based on typical clinical and imaging manifestations. Conclusions Neurological manifestations are common symptoms in TA patients in the chronic phase, including dizziness, visual disturbance, headache, ischemic stroke, seizures, and some unusual ones such as RPES. We suggested RPES be included into the differential diagnosis of acute neurological changes in TA.

关键词： takayasu arteritis neurological manifestation epileptic seizures reversible posterior encephalopathy syndrome

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“Guidezilla”extension catheter combined with balloon technique for treating pulmonary artery stenosis caused by takayasu arteritis

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Journal of Interventional Medicine 2023年第4期6卷 198-201页

作者： Yifan Wu Jinzhi Wang Zhihui Fu Min Liu Wanmu Xie Xincao Tao Qiang Huang Zhenguo Zhai National Center for Respiratory Medicine BeijingPR China State Key Laboratory of Respiratory Health and Multimorbidity BeijingPR China National Clinical Research Center for Respiratory Diseases BeijingPR China Institute of Respiratory Medicine Chinese Academy of Medical SciencesBeijingPR China Center of Respiratory Medicine China-Japan Friendship HospitalBeijingPR China Department of Respiratory and Critical Care Medicine The First Affiliated Hospital of Nanchang UniversityNanchang330006Jiangxi ProvinceChina Chinese Academy of Medical Sciences Fuwai Hospital Center for Respiratory and Pulmonary Vascular Diseases Beijing100037China Department of Radiology China-Japan Friendship HospitalBeijingChina Graduate School of Peking Union Medical College Chinese Academy of Medical Sciencesand Peking Union Medical CollegeBeijing100730China

takayasu arteritis(TA)is a rare systemic vasculitis of the aorta and its primary branches,which usually occurs in young *** to its insidious onset and lack of specific symptoms,this disease can be easily misdiagnosed or *** 50%of the patients having TA with pulmonary artery involvement develop pulmonary hypertension(PH).The 3-year survival rate among patients with TA-related PH is lower than that among patients with TA *** balloon pulmonary angioplasty(BPA)can improve the clinical symptoms and survival of patients with stable *** the best of our knowledge,this is the first case reported in the English literature in which a“Guidezilla”catheter was used during BPA to treat stenosis and occlusion of the pulmonary artery caused by takayasu arteritis(TA).

关键词： takayasu arteritis Pulmonary hypertension Balloon pulmonary angioplasty Guidezilla catheter

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Association of interleukin-18 gene polymorphisms with takayasu arteritis in a Chinese Han population

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Chinese Medical Journal 2020年第19期133卷 2315-2320页

作者： Dan Wen Xian-Liang Zhou Xin Du Jian-Zeng Dong Chang-Sheng Ma Department of Cardiology Beijing Anzhen HospitalCapital Medical UniversityNational Clinical Research Center for Cardiovascular DiseasesBeijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular DiseasesBeijing 100029China Department of Cardiology Fuwai HospitalNational Center for Cardiovascular DiseaseChinese Academy of Medical SciencesPeking Union Medical CollegeBeijing 100037China.

Background:Interleukin-18(IL18)gene polymorphisms are related to many inflammatory and autoimmune ***,a correlation analysis between IL18-607C/A and-137G/C gene polymorphisms and takayasu arteritis(TA)is ***:This study enrolled 200 patients with TA as the case group and 334 region-,age-,and sex-matched healthy subjects as the control *** genotyped alleles and genotypes at positions-607 and-137 of the IL18 gene and analyzed the distribution ***-Whitney U test,t test,Chi-squared test and Hardy-Weinberg equilibrium were ***:After adjusting for risk factors,the adjusted odds ratios and 95%confidence intervals at position-607C/A were 0.533,0.391 to 0.880(P=0.010);0.266,0.586 to 1.002(P=0.051);and 0.122,0.552 to 1.420(P=0.613)under the dominant,additive,and recessive models,*** the-137G/C polymorphism,the adjusted odds ratios and 95%confidence intervals were 1.571,1.068 to 2.311(P=0.022);1.467,1.086 to 1.980(P=0.012);and 1.815,0.901 to 3.656(P=0.095)under the dominant,additive,and recessive models,***,regardless of the model used,we found no statistical difference in distribution frequency between the active and quiescent states of TA for the-607C/A(P=0.355,0.631,and 0.705,respectively)and-137G/C polymorphisms(P=0.205,0.385,and 0.208,respectively).Conclusions:The IL18-607C/A gene polymorphism may decrease the risk of TA,and thus is a protective factor,whereas-137G/C may increase the risk of TA,and thus is a risk ***,neither polymorphism was related to activity(active ***)of TA.

关键词： Gene polymorphism Interleukin-18 takayasu arteritis

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Treatment of cerebral aneurysms associated with takayasu arteritis

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Chinese Medical Journal 2013年第3期126卷 597-599页

作者： HE Fu-liang ZHANG Hong-qi GU Yong-quan LI Xue-feng LI Jian-xin ZHANG Jian Department of Vascular Surgery Xuanwu Hospital Capital Medical University Beijing 100053 China Department of Neurosurgery Xuanwu Hospital Capital Medical University Beijing 100053 China

takayasu arteritis （TA） is a chronic inflammatory disease of the large elastic arteries that primarily affects the aorta and its major branches, resulting in luminal stenosis and aneurysmal changes in the large vessels.1 Cerebral aneurysms and accompanying subarachnoid hemorrhage （SAH） are rare; no case from China has been reported. We herein report two cases of TA with cerebral aneurysms that were successfully treated with coil embolization.

关键词： aneurysm takayasu arteritis subarachnoid hemorrhage

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Single Nucleotide Polymorphism rs10919543 in FCGR2A/ FCGR3A Region Confers Susceptibility to takayasu arteritis in Chinese Population

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Chinese Medical Journal 2016年第7期129卷 854-859页

作者： Fang Qin Hu Wang Lei Song Xi-Li Lu Li-Rui Yang Er-Peng Liang Wei Wang Yu-Bao Zou Jin Bian Hai-Ying Wu Xian-Liang Zhou Ru-Tai Hui H ui--Min Zhang Xiong-Jing Jiang Hypertension Center Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences Peking Union Medical College Beijing 100037 China State Key Laboratory of Cardiovascular Disease Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences Peking Union Medical College Beijing 100037 China

Background： takayasu arteritis （TA） is a rare inflammatory arteriopathy of unknown etiology. The aim of this study was to investigate the genetic susceptibility to TA in a Chinese population. Methods： Four single nucleotide polymorphisms （SNPs） those locate in the IL12B region （rs56167332）, the MLX region （rs665268）, the FCGR2A/FCGR3A locus （rsi0919543）, and the HLA-B/M1CA locus （rs12524487）, associated with TA in different population, were genotyped in 123 Chinese TA patients and 147 healthy controls from January 2013 to August 2014. A Chi-square test was used to test for genotype/allele frequencies variants. Results： Among the four SNPs, rs 10919543 was found to be significantly associated with TA in the studied population. The GG genotype of rs 10919543 at the FCGR2A/FCGR3A locus is a high risk factor （odds ratio [OR] = 6.532, 95% confidence interval [C1] = 2.402 - 17.763, P 〈 0.001 ） for TA. Among TA patients, the level of eosinophil granulocytes （Eos） in the peripheral blood was observed to be higher in the GG group of rs 10919543 （n = 23, Eos = 0. I 1 [0.08, 0.17] x 109/L） than the GA ＋ AA group （n = 100, Eos = 0.08 [0.05, 0.13] 10/L, P = 0.028）. No correlation between the genotypes of the other three SNPs and TA patients was observed. Conclusions： Our findings revealed unique genetic pattern in Chinese TA patients that may be partly responsible for the higher risk of TA in this population. FCGR2A/FCGR3A-related immune disorder might contribute to the etiology of TA.

关键词： FCGR2A, FCGR3A Single Nucleotide Polymorphisms takayasu arteritis

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Visceral and renal arteries stenosis associated with takayasu arteritis

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Chinese Medical Journal 2006年第9期119卷 786-788页

作者： ZHU Ting FU Wei-guo CHEN Bin SHI Zhen-yu GUO Da-qiao JIANG Jun-hao YANG Jue Institute of Vascular Surgery Zhongshan Hospital Fudan University Shanghai 200032 China

takayasu arteritis （TA） is a nonspecific granulomatous inflammatory arteriopathy of unknown cause that results in occlusive obliteration or less commonly aneurysm degeneration of large and medium-sized elastic arteries. Most descriptions of this disease have emphasized the ＂pulseless＂ syndrome, however, less attention has been paid to involvement of other segments of the aorta, renal arteries, and in particular the visceral arteries. We reported a case of type Ⅱ TA, in which both the visceral and the bilateral renal arteries were involved.

关键词： visceral artery renal artery takayasu arteritis

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Advancements in medical and surgical treatments of takayasu arteritis-induced renal arteritis:a systematic review

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Chinese Medical Journal 2020年第8期133卷 975-981页

作者： Xiao-Min Dai Meng-Meng Yin Yun Liu Li-Li Ma Jun Ying Lin-Di Jiang Department of Rheumatology Zhongshan HospitalFudan UniversityShanghai 200032China Fudan University Library Shanghai 200032China

Background:takayasu arteritis-induced renal arteritis (TARA), commonly seen in takayasu arteritis (TA), has become one of the main causes of poor prognosis and early mortality in patients with TA. TARA progressing into takayasu arteritis-induced renal artery stenosis (TARAS), could lead to severe complications including malignant hypertension, cardiac-cerebral vascular disease, and ischemic nephropathy. Since there existed no guidelines on treatments, this study aimed to review the comprehensive treatments for ***:We searched systematically in databases including PubMed, Ovid-Medline, EMBASE, Web of Science, China National Knowledge Infrastructure, Wanfang, and SinoMed, from inception to May 2018. Literature selection, data extraction, and statistical analysis were ***:Eighty-two literatures were recruited focusing on medical treatments ( n = 34) and surgical treatments ( n = 48). We found that combined medical treatments of glucocorticoids and conventional synthetic disease-modifying anti-rheumatic drugs could reach high rates of remission in patients with TARA, and biological disease-modifying anti-rheumatic drugs were preferred for refractory patients. After remission induction, surgical treatment could help reconstruct renal artery and recover renal function partly. Percutaneous transluminal angioplasty was the first choice for patients with TARAS, while open surgery showed a good longterm survival. Conclusions:Patients with TARA should benefit both from medical treatments and from surgical treatments comprehensively and sequentially. Multidisciplinary team coordination is recommended especially in patients with severe complications.

关键词： Renal artery takayasu arteritis Treatment

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Surgical treatment of multivessel lesions in takayasu arteritis

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Chinese Medical Journal 2013年第24期126卷 4804-4805页

作者： DIAO Yong-peng LIU Chang-wei SONG Xiao-jun CHEN Yue-xin GUO Li-long LIAN Li-shan LI Yong-jun Department of Vascular Surgery Peking Union Medical CollegeHospital Peking Union Medical College Chinese Academy ofMedical Science Beijing 100730 China

takayasu arteritis （TA） is a chronic progressive nonspecific vasculitis that involves the aorta and itsmain branches, resulting in luminal stenosis in the large vessels. Steroid therapy is the foundation for TA treatment and the guarantee of surgery. When a patient presents with uncontrolled symptoms, surgical treatment is the only measure that may be adopted to prevent greater risk to life. However, surgical repair for extensive arteriopathy requires an ingenious design to avoid morbidity in response to the complexity of the pathophysiology of TA. A 41-year-old woman presented with pulselessness, recurrent dizziness, and visual disturbance for the past 23 years. The patient had been diagnosed with TA 13 years ago and had received steroid therapy. However, the symptoms of dizziness and visual disturbance had increased in intensity and duration over the last 2 years. Upon admission, physical examination revealed that pulse in both arms were absent. Her blood pressure was 98/63 mmHg （1 mmHg=0.133 kPa） in the left arm,

关键词： takayasu arteritis surgical procedures, vascular grafting

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