Weight loss, malaise, patient under 40, absent pulse and raised ESR = Takayasu's disease
About
Pathology
Aetiology
Clinical
Investigations
Diagnostic Criteria
Takayasu's arteritis may be diagnosed when at
least three of these six criteria are present
(sensitivity of 90.5% and a specificity of 97.8%)
[Arend et al. 1990]
1 Age at disease onset <50 years 2 Claudication of extremities 3 Decreased brachial artery pulse 4 Blood pressure [systolic] difference
> 10mmHg between arms 5 Bruit over subclavian arteries or abdominal
aorta 6 Arteriographic narrowing or occlusion of the
aorta, its primary branches or large arteries
(not due to arteriosclerosis, fibromuscular
dysplasia or similar causes) Management
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Takayasu arteritis (pulseless disease)
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