Abstract

CASE STUDY: TAKAYASU’S ARTERITIS IN A MALE PATIENT WITH EMPHASIS ON NON-INVASIVE IMAGING TECHNIQUES

Derangula Lavanya*, Basani Pavithra, Motati Sneha, Degam Akshaya, Kachakayala Ramya5 and Velugotla Pranathi Prasanna

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Abstract

Takayasu arteritis (TA) is a rare large vessel vasculitis, typically characterized by systemic symptoms such as fever, weight loss, and hypertension. However, it can present with atypical symptoms, as observed in a 34-year-old male patient who experienced intermittent left upper limb pain and dizziness with positional changes. Diagnostic imaging, including PET-CT and ultrasound, revealed hypermetabolic activity and circumferential thickening of the infrarenal abdominal aorta, consistent with modern non-invasive practices. This case underscores TA's diverse clinical presentation and global prevalence, highlighting its occurrence in demographic groups beyond its traditionally recognized patterns. The involvement of the infrarenal abdominal aorta in this patient aligns with observations in Indian males, illustrating the disease's variable nature across populations. The absence of concurrent autoimmune conditions aided in distinguishing TA from other forms of vasculitis, facilitating accurate diagnosis and management. This case emphasizes the importance of considering TA in patients presenting with unusual vascular symptoms, necessitating thorough diagnostic evaluation to guide appropriate treatment strategies.

Keywords: Takayasu’s arteritis, Vasculitis, PET-CT, Autoimmune mechanisms, Immunosuppressants, Glucocorticoids, Corticosteroids.