Insidious: Takayasu Arteritis

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Presentation transcript:

Insidious: Takayasu Arteritis Fátima Rodriguez, MD, MPH, Kathleen O. Degnan, MD, Prashant Nagpal, MD, Ron Blankstein, MD, Marie D. Gerhard-Herman, MD The American Journal of Medicine Volume 128, Issue 12, Pages 1288-1291 (December 2015) DOI: 10.1016/j.amjmed.2015.07.007 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 Contrast-enhanced computed tomography (CT) images identified ectasia and circumferential mural thickening of the descending thoracic aorta. A, An axial image is provided. B, This is the sagittal view. C, A coronal view also was obtained. Severe stenosis at the level of the diaphragmatic hiatus is marked with an arrow. D, A maximum intensity projection magnetic resonance image also demonstrated severe stenosis of the descending aorta. The American Journal of Medicine 2015 128, 1288-1291DOI: (10.1016/j.amjmed.2015.07.007) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 2 A, Volume-rendered CT imaging of the left anterior descending coronary artery demonstrated a large amount of diffuse plaque with focal narrowing in multiple areas (arrows). The findings implied vasculitis. B, Multiplanar reconstruction CT imaging indicated the same. C, This is another multiplanar reconstruction CT image. The American Journal of Medicine 2015 128, 1288-1291DOI: (10.1016/j.amjmed.2015.07.007) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 3 A, Whole body positron emission tomography (PET) with fludeoxyglucose-18F (FDG) disclosed increased uptake of the contrast agent within the bone marrow of the spine and pelvis and in the right axillary (arrow) and supraclavicular lymph nodes. B, No FDG uptake was evident in the aortic wall on a fused PET-CT image. The American Journal of Medicine 2015 128, 1288-1291DOI: (10.1016/j.amjmed.2015.07.007) Copyright © 2015 Elsevier Inc. Terms and Conditions