29 y/o woman with hypertension

 

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Doctor's Information

Name : maryam
Family : haghighimorad
Affiliation :semnan MRI
Academic Degree : radiologist
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : ------------------

 

Case Section

Cardiovascular

 

Patient's Information

Gender : Female
Age : 29

 

Clinical Summary

29 y/o woman with hypertension , in ph.exam radial pulse is absent in left hand.

 

Imaging Findings

cutoff of left subclavian artery is seen also severe stenosis is seen in brachiocephalic artery and renal arteries, cut off of SMA and severe stenosis is seen in celiac artery.

 

Differential Diagnosis

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Final Diagnosis

Takayasu's arteritis

 

Discussion (Related Text)

Takayasu's disease (also known as "aortic arch syndrome", "nonspecific aortoarteritis" and the "pulseless disease" .affecting often young or middle-aged women of Asian descent.it mainly affects the aorta (the main blood vessel leaving the heart) and its branches, as well as the pulmonary arteries. Due to obstruction of the main branches of the aorta, including the left common carotid artery, the brachiocephalic artery, and the left subclavian artery, Takayasu's arteritis can present as pulseless upper extremities (arms, hands, and wrists with weak or absent pulses on the physical examination) which may be why it is also commonly referred to as the "pulseless disease".

 

References

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