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Anemia in patients with takayasu arteritis: prevalence, clinical features, and treatment

Journal of Geriatric Cardiology 2019年第9期16卷 689-694页

作者： Ying ZHANG Di ZHANG Yi QU Peng FAN Ya-Xin LIU Hui-Min ZHANG Lei SONG Wen-Jun MA Hai-Ying WU Jun CAI Fang LUO Xian-Liang ZHOU De-Yu ZHENG Li-Sheng LIU Department of Cardiology Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College

Background Anemia is a common comorbidity of patients with takayasu arteritis(TA). This study evaluated the prevalence, clinical characteristics, and treatment in Chinese TA patients with anemia. Methods This retrospective study included 533 consecutive patients hospitalized for TA from January 2009 to April 2018. Anemia was diagnosed on the basis of hemoglobin level, according to World Health Organization criteria. Results A total of 194 patients(36.4%) were diagnosed with anemia. Most had mild anemia(177, 91.2%). Female patients were predominant(92.8% of anemic patients). Normocytic anemia(62.9%) was the most common pattern. Anemic patients were more likely than non-anemic patients to have dizziness(29.4% vs. 21.2%), low body mass index(22.0 ± 3.6 vs. 22.9 ± 3.4 kg/m2), and active disease stage(64.9% vs. 50.1%);pulmonary involvement(12.4% vs. 26.8%), pulmonary hypertension(12.9% vs. 20.1%) and pulmonary hypertensive-target drugs(2.8% vs. 11.6%) were less common among anemic than non-anemic patients(all P < 0.05). Larger left ventricular end-diastolic diameter and lower left ventricular ejection fraction were observed in anemic patients. Over a median follow-up of four months, the increase of hemoglobin in anemic patients was associated with the use of iron supplementation. Conclusions Anemia is a very common concurrent condition in TA, especially in young, female patients. Patients with anemia are more likely to be in the active disease stage. Iron supplementation helps increase hemoglobin.

关键词： Anemia Disease activity Oral iron supplementation takayasu arteritis

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Tuberculosis in takayasu arteritis: a retrospective study in 1105 Chinese patients

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Journal of Geriatric Cardiology 2019年第8期16卷 648-655页

作者： Ying ZHANG Peng FAN Fang LUO Hui-Min ZHANG Lei SONG Wen-Jun MA Hai-Ying WU Jun CAI Lin-Ping WANG Xian-Liang ZHOU Department of Cardiology Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College

Background Tuberculosis (TB) infection has been reported to have a possible relationship with the occurrence and clinical course of takayasu arteritis (TA). We aimed to describe the characteristics of TB in a large population of TA patients. Methods We included a total of 1105 patients with TA, who were hospitalized between January 1992 and December 2017. Comparisons of clinical features were made according to the presence of TB. Results Among the 1105 patients, 109 (9.9%) had TB, including 53 patients (48.6%) diagnosed with TB before the onset of TA, 23 (21.1%) with a concurrent diagnosis of TB and TA, and 24 patients (22.0%) who developed TB after TA. Pulmonary TB was the most frequently identified (97 patients, 89.0%). Patients with TB had more frequent involvement of the pulmonary artery and experienced more chest discomfort and constitutional symptoms but had less interventional treatment. Demographic characteristics, comorbid diseases, and use of steroids were similar between patients with and without TB. Conclusions The proportion of Chinese TA patients with TB was not low, and about half of the patients had TB before TA. Pulmonary TB was the most common. Pulmonary artery involvement and pulmonary hypertension was more frequent in TA patients with TB.

关键词： Immunosuppressive agents Mycobacterium tuberculosis Pulmonary artery takayasu arteritis

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Drug coated balloon angioplasty for renal artery stenosis due to takayasu arteritis: Report of five cases

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World Journal of Clinical Cases 2019年第18期7卷 2888-2893页

作者： Yong-Hua Bi Jian-Zhuang Ren Meng-Fei Yi Jin-Dong Li Xin-Wei Han Department of Interventional Radiology The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052Henan ProvinceChina Department of Thoracic Surgery the First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052Henan ProvinceChina

BACKGROUND takayasu arteritis is a rare but intractable chronic disease in young female patients. Percutaneous transluminal angioplasty of the involved renal arteries has been reported;however, few studies have reported the use of drug coated balloon angioplasty in the treatment of takayasu arteritis. We aimed to demonstrate five young female patients who presented with a history of hypertension due to takayasu arteritis. CASE SUMMARY From April 2017 to October 2018, five female patients were diagnosed with hypertension due to takayasu arteritis by computed tomography angiography (CTA) and laboratory tests. Four patients had a complaint of headache with or without dizziness, and one patient showed no symptom. There was no significant family or past history of hypertension or kidney disease, and the physical examinations were almost normal on admission. We performed a treatment by drug coated balloon angioplasty. Blood pressure decreased dramatically in all patients after balloon angioplasty, and the patency of treated renal artery was demonstrated with CTA over 5 months after the angioplasty procedure. CONCLUSION Drug coated balloon angioplasty is safe and effective for renal artery stenosis due to takayasu arteritis. A prospective study with a larger sample size is necessary to further demonstrate the effectiveness of the treatment.

关键词： Hypertension Renal artery stenosis takayasu arteritis Balloon angioplasty Case report

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Anemia in Chinese patients with takayasu arteritis

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中国循环杂志 2018年第S1期33卷 145-146页

作者： Ying Zhang Peng Fan Fang Luo Xianliang Zhou Department of Cardiology National Center for Cardiovascular DiseasesFuwai HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina

Objective Anemia as a concomitant disease of patients with takayasu arteritis (TA) has been reported in several case reports, but epidemiological studies of large populations are lacking. This study evaluated the prev... 详细信息

关键词： takayasu arteritis case reports

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初始表现为社区获得性肺炎的takayasu大动脉炎肺动脉受累

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中华结核和呼吸杂志 2023年第10期46卷 1002-1007页

作者：王瑜君贺航咏王慧娟方秋红首都医科大学附属北京朝阳医院呼吸与危重症医学科、北京呼吸疾病研究所、北京市呼吸与危重症诊治工程技术研究中心(北京朝阳医院) 北京100020 北京怀柔医院呼吸与危重症医学科北京101400

以肺动脉受累及为首发的Takaysu大动脉炎临床表现复杂,并缺乏特异性,早期诊断困难。本文报道3例初始表现为社区获得性肺炎(CAP),最终确诊为大动脉炎肺动脉受累(TA-PAI)的病例及其特点,并结合相关文献复习,总结这类病例早期临床及辅助检... 详细信息

以肺动脉受累及为首发的Takaysu大动脉炎临床表现复杂,并缺乏特异性,早期诊断困难。本文报道3例初始表现为社区获得性肺炎(CAP),最终确诊为大动脉炎肺动脉受累(TA-PAI)的病例及其特点,并结合相关文献复习,总结这类病例早期临床及辅助检查特征,以期提高临床对TA-PAI的早期识别和诊断。

关键词：大动脉炎社区获得性肺炎肺动脉受累早期临床早期识别早期诊断 PAI takayasu

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takayasu Disease in Niger: About Three Cases and Literature Review

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Open Journal of Internal Medicine 2019年第4期9卷 129-140页

作者： E. Adehossi B. M. Charfo S. Brah M. Daou A. Andia A. Salia D. I. Bako H. Bako H. Idrissa R. Sani Department of Internal Medicine Hôpital National de Niamey Niamey Niger Department of Radiology Hôpital National de Niamey Niamey Niger Department of Cardiology Hôpital National de Niamey Niamey Niger Department of General Surgery Hôpital National de Niamey Niamey Niger

takayasu arteritis is a chronic, idiopathic, and inflammatory disease that primarily affects large vessels, such as the aorta and its main branches. Much of the literature describing takayasu arteritis has originated from Asian countries, and the disease was once thought to be restricted to these regions. During the past few decades, patients with takayasu arteritis have been increasingly recognized in Africa. We report three first cases of takayasu’s arteritis in Niger by focusing on epidemiological clinical radiological and therapeutic aspects. Of the three patients, two were women and the age of onset was 27 years in one case and 33 years in the other two cases. Clinically, abolition of at least one peripheral pulse was constantly observed. We find a predominance of the involvement of the supra-aortic trunks in 3 cases and less of the abdominal aortic involvement in 1 case. Moreover, our series is distinguished by a case revealed by a stroke in a male subject. Corticosteroids were successful with clinical improvement and stabilization of the disease in the short and medium term. The revascularization performed in two of the patients. Tayasu arteritis is uncommon disease that must be evoked before a symptomatology non-specific coaches and lead to check the pulse. Ischemic complications are already present at the time of diagnosis. We have found a high frequency of arterial thrombosis in our series.

关键词： takayasu Arteritis Niamey Niger

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takayasu’s arteritis-aphasia as an initial presentation

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Neuroimmunology and Neuroinflammation 2016年第1期3卷 192-195页

作者： Davinder Singh Rana Anuradha Batra Ish Anand Samir Patel Pooja Gupta Department of Neurology Old building blockSir Ganga Ram HospitalOld Rajinder NagarNew Delhi 110060India

takayasu arteritis(TA)is an uncommon disease of young women,characterized by granulomatous vasculitis of medium and large *** involvement is reported in only a minority of patients and occurrence of neurological syndromes as the first manifestation of disease has been rarely *** present clinical,laboratory and imaging findings of a 40 years old lady with TA,who initially presented with clinical manifestations of stroke in form of *** rarity of the disease and especially such a presentation can cause considerable delay in the diagnosis and treatment.

关键词： takayasu arteritis stroke aphasia

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Anuria as a Chief Presentation of takayasu Arteritis

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Case Reports in Clinical Medicine 2021年第2期10卷 24-33页

作者： Sara K. Alrasheed Basel Alheijani Rahmah Alzahrani Shaker Alshehri Department of Medicine King Abdulaziz Medical City Ministry of National Guard-Health Affairs Riyadh KSA Department of Radiology King Abdulaziz Medical City Ministry of National Guard-Health Affairs Riyadh KSA

takayasu vasculitis is a rare type of large vessel vasculitis that primarily affects the aorta and its main branches;signs and symptoms are usually due to systemic inflammation or ischemia of an organ or a limb, depending on the group of blood vessels involved. In addition, takayasu arteritis is associated with increased platelet and coagulation activity, leading to a hypercoagulable state and thrombus formation. We report a case of a 47-year-old male who presented with a history of complete anuria for 3 days and was found to have progressively worsening kidney function. Renal Doppler ultrasound confirmed the presence of bilateral renal artery thrombosis, while contrast-enhanced computed tomography (CECT) of the abdomen and pelvis showed extensive abdominal aortic thrombosis with radiological findings consistent with large vessel vacuities. After catheter-directed thrombolytic therapy of the renal arteries, the patient started producing urine and his kidney function significantly improved. Later, positron emission tomography scan (PET) confirmed large vessel takayasu arteritis. Echocardiography showed no intracardiac thrombus, along with an extensive work-up for thrombophilia, as autoimmune and vasculitis serology came back negative. This is an extremely rare presentation of takayasu arteritis, with an unusual recovery of acute renal failure after prolonged anuria due to bilateral renal artery thrombosis.

关键词： takayasu Anuria Vasculitis

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The Efficacy of Tocilizumab for takayasu Arteritis: Review of the Literatures

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Open Journal of Rheumatology and Autoimmune Diseases 2015年第4期5卷 118-125页

作者： Nesibe Karahan Yesil Hatice Sahin Metin Isik Ziyaeddin Aktop Ismail Dogan Ali Erdem Baki Department of Rheumatology Ankara Research and Education HospitalAnkaraTurkey Division of Rheumatology Department of Internal MedicineFaculty of MedicineBülent Ecevit UniversityZonguldakTurkey Division of Rheumatology Department of Internal MedicineFaculty of MedicineMevlana UniversityKonyaTurkey Department of Cardiology Bülent Ecevit UniversityZonguldakTurkey Division of Rheumatology Department of Internal MedicineÇorum Hitit UniversityÇorumTurkey Department of Physical Medicine and Rheabilitation Bülent Ecevit UniversityZonguldakTurkey

takayasu arteritis is a large vessel vasculitis of the young women with giant cells and granuloma formation. The diagnosis and management of the disease are really not so easy because of the insidious onset and the difficulties in assessment of disease activity. Nearly 60% of the patients are corticosteroid resistant or dependent and relapses are very frequent during taper of the dose [1]. The novel biologic agents as Anti-TNF, Rutiximab and Tocilizumab provide acceptable response rates with low toxicity. Herein, we reviewed the efficacy of Tocilizumab in takayasu arteritis.

关键词： takayasu Arteritis Tocilizumab Corticosteroid

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Late Diagnosis of takayasu Disease in a 50-Year-Old African Black Woman with Repeated Episodes of Heart Failure: Seeing the Forest through the Trees—A Case Report

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World Journal of Cardiovascular Diseases 2020年第10期10卷 683-697页

作者： Djibril Marie BA Aminata Diack Alain Affangla Serigne Cheikh Tidiane Ndao Madjiguene KA Khadidiatou DIA Mouhamed Cherif Mboup Mouhamed Leye Unit of Research and Training in Medical Sciences University of Thies Thies Senegal Department of Radiology Principal Hospital of Dakar Dakar Senegal Department of Cardiology Principal Hospital of Dakar Dakar Senegal

Background: First described in 1908, TAK has now been recognized as a non-specific inflammatory disease of unknown etiology, predominantly affecting young females. Sometimes, it progresses into relatively rare and potentially fatal scenarios such heart failure. Case Presentation: Here, we present the case of a 50-year sub-saharan female suffering from acute heart failure related to TAK. Despite constitutional symptoms (fever, malaise, weight loss) and more characteristic features such claudication of lower extremities, carotydinia, and pulseless syndrome, diagnosis of TAK was delayed since main presentation was heart failure. Immunosuppressive and anticoagulant therapies have induced improvement in cardiac manifestations. Conclusion: Early diagnosis and proper treatment can protect the patient from dangerous complications such heart failure.

关键词： takayasu Heart Failure Corticotherapy Pulseless Syndrome Sub-Saharan Black Female Case Report

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