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Takayasu's Arteritis Associated With Glomerulonephritis: A Case Report

Takayasu's Arteritis Associated With Glomerulonephritis: A Case Report Abstract • Takayasu's disease is a nonspecific arteritis of unknown cause with predilection for the aortic arch and its branches; approximately 20% of those affected are children or adolescents, predominantly females. The purpose of this article is to report the case of a young girl in which the mode of presentation was microscopic hematuria and proteinuria. Subsequently, aortic valvular insufficiency developed and there was evidence of aortitis in the thoracic and abdominal aorta, as well as in the arch. All functional and anatomical cardiac derangements were documented by ultrasound and angiocardiography. Renal biopsies showed progressive glomerular involvement characterized by focal and segmental glomerulonephritis. It is postulated that a common immunologic mechanism was responsible for the aortic and glomerular lesions. (Am J Dis Child 132:1009-1013, 1978) References 1. Bonventre MV: Takayasu's disease revisited . NY State J Med 74:1960-1967, 1974. 2. Shimizu L, Sano K: Pulseless disease . J Neuropathol Clin Neurol 1:37-47, 1956. 3. Nakao K, Ikeda M, Kimata S, et al: Takayasu's arteritis . Circulation 35:1141-1155, 1967.Crossref 4. Uede H, Ito I, Saito Y: Studies on arteritis with special reference to pulseless disease and its diagnosis . Naika 15:239-245, 1965. 5. Nasu TO: Pathology of pulseless disease . Angiology 11:225-242, 1963.Crossref 6. Judge R, Currier RD, Gracia WA, et al: Takayasu's arteritis and the aortic arch syndrome . Am J Med 32:379-384, 1962.Crossref 7. Voridis E, Plessas ST, Mizalis A, et al: Pulseless disease with occlusive abdominal aortitis and hypertension: Report of two cases . Angiology 25:422-427, 1974.Crossref 8. Kirshbaum JD: Abdominal aortitis with stenosis (Takayasu's disease) and occlusive superior mesenteric arteritis associated with renal artery stenosis and hypertension . Am Heart J 80:811-815, 1970.Crossref 9. Vinijchaikul K: Primary arteritis of the aorta and its main branches (Takayasu's arteriopathy): A clinicopathologic autopsy study of eight cases . Am J Med 43:15-21, 1967.Crossref 10. Ask-Upmark E: On the pathogenesis of the hypertension in Takayasu's syndrome . Acta Med Scand 169:467-477, 1961.Crossref 11. Ueda H, Morooka S, Ito I, et al: Clinical observation of 52 cases of aortitis syndrome . Jpn Heart J 10:277-285, 1969.Crossref 12. Lande A, LaPorta A: Takayasu arteritis . Arch Pathol Lab Med 100:437-440, 1976. 13. Fraga A, Mintz G, Valle L, et al: Takayasu's arteritis: Frequency of systemic manifestations (study of 22 patients) and favorable response to maintenance steroid therapy with adrenocorticosteroids (12 patients) . Arthritis Rheum 15:617-624, 1972.Crossref 14. Lande A, Rossi P: The value of total aortography in the diagnosis of Takayasu's arteritis . Radiology 114:287-297, 1975.Crossref 15. Gilbert E, Levy J, Hong R, et al: Takayasu's arteriopathy with involvement of aortic valve and bacterial endocarditis . J Pediatr 83:463-466, 1973.Crossref 16. Lee KS, Sohn KY, Hong CY, et al: Primary arteritis (pulseless disease) in Korean children . Acta Pediatr Scand 56:526-536, 1967.Crossref 17. Lande A, Bard R, Rossi P, et al: Takayasu's arteritis . NY State J Med 76:1477-1482, 1976. 18. Poutasse EF, Humphries AF, McCormack LT, et al: Bilateral stenosis of renal arteries and hypertension . JAMA 161:419-425, 1956.Crossref 19. Abe K, Miyazaki S, Kusaka T, et al: Elevated plasma renin activity in aortitis syndrome . Jpn Heart J 17:1-7, 1976.Crossref 20. Pyorala K, Heinonen O, Koskele P, et al: Coarctation of the abdominal aorta: Review of 27 cases . Am J Cardiol 650:7-10, 1960. 21. Shah VV, Shah KD, Shah CV: Aortic arch syndrome with aortic incompetence . Vasc Dis 4:1-4, 1967. 22. Strachan W: The natural history of Takayasu arteriopathy . Q J Med 33:57-60, 1964. 23. Ueda H, Saito Y, Ito I, et al: Further immunological studies of aortitis syndrome . Jpn Heart J 12:1-21, 1971.Crossref 24. Asherson RA, Asherson GL, Schrire V: Immunological studies in arteritis of the aorta and great vessels . Br Med J 3:589-590, 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Takayasu's Arteritis Associated With Glomerulonephritis: A Case Report

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120350073015
Publisher site
See Article on Publisher Site

Abstract

Abstract • Takayasu's disease is a nonspecific arteritis of unknown cause with predilection for the aortic arch and its branches; approximately 20% of those affected are children or adolescents, predominantly females. The purpose of this article is to report the case of a young girl in which the mode of presentation was microscopic hematuria and proteinuria. Subsequently, aortic valvular insufficiency developed and there was evidence of aortitis in the thoracic and abdominal aorta, as well as in the arch. All functional and anatomical cardiac derangements were documented by ultrasound and angiocardiography. Renal biopsies showed progressive glomerular involvement characterized by focal and segmental glomerulonephritis. It is postulated that a common immunologic mechanism was responsible for the aortic and glomerular lesions. (Am J Dis Child 132:1009-1013, 1978) References 1. Bonventre MV: Takayasu's disease revisited . NY State J Med 74:1960-1967, 1974. 2. Shimizu L, Sano K: Pulseless disease . J Neuropathol Clin Neurol 1:37-47, 1956. 3. Nakao K, Ikeda M, Kimata S, et al: Takayasu's arteritis . Circulation 35:1141-1155, 1967.Crossref 4. Uede H, Ito I, Saito Y: Studies on arteritis with special reference to pulseless disease and its diagnosis . Naika 15:239-245, 1965. 5. Nasu TO: Pathology of pulseless disease . Angiology 11:225-242, 1963.Crossref 6. Judge R, Currier RD, Gracia WA, et al: Takayasu's arteritis and the aortic arch syndrome . Am J Med 32:379-384, 1962.Crossref 7. Voridis E, Plessas ST, Mizalis A, et al: Pulseless disease with occlusive abdominal aortitis and hypertension: Report of two cases . Angiology 25:422-427, 1974.Crossref 8. Kirshbaum JD: Abdominal aortitis with stenosis (Takayasu's disease) and occlusive superior mesenteric arteritis associated with renal artery stenosis and hypertension . Am Heart J 80:811-815, 1970.Crossref 9. Vinijchaikul K: Primary arteritis of the aorta and its main branches (Takayasu's arteriopathy): A clinicopathologic autopsy study of eight cases . Am J Med 43:15-21, 1967.Crossref 10. Ask-Upmark E: On the pathogenesis of the hypertension in Takayasu's syndrome . Acta Med Scand 169:467-477, 1961.Crossref 11. Ueda H, Morooka S, Ito I, et al: Clinical observation of 52 cases of aortitis syndrome . Jpn Heart J 10:277-285, 1969.Crossref 12. Lande A, LaPorta A: Takayasu arteritis . Arch Pathol Lab Med 100:437-440, 1976. 13. Fraga A, Mintz G, Valle L, et al: Takayasu's arteritis: Frequency of systemic manifestations (study of 22 patients) and favorable response to maintenance steroid therapy with adrenocorticosteroids (12 patients) . Arthritis Rheum 15:617-624, 1972.Crossref 14. Lande A, Rossi P: The value of total aortography in the diagnosis of Takayasu's arteritis . Radiology 114:287-297, 1975.Crossref 15. Gilbert E, Levy J, Hong R, et al: Takayasu's arteriopathy with involvement of aortic valve and bacterial endocarditis . J Pediatr 83:463-466, 1973.Crossref 16. Lee KS, Sohn KY, Hong CY, et al: Primary arteritis (pulseless disease) in Korean children . Acta Pediatr Scand 56:526-536, 1967.Crossref 17. Lande A, Bard R, Rossi P, et al: Takayasu's arteritis . NY State J Med 76:1477-1482, 1976. 18. Poutasse EF, Humphries AF, McCormack LT, et al: Bilateral stenosis of renal arteries and hypertension . JAMA 161:419-425, 1956.Crossref 19. Abe K, Miyazaki S, Kusaka T, et al: Elevated plasma renin activity in aortitis syndrome . Jpn Heart J 17:1-7, 1976.Crossref 20. Pyorala K, Heinonen O, Koskele P, et al: Coarctation of the abdominal aorta: Review of 27 cases . Am J Cardiol 650:7-10, 1960. 21. Shah VV, Shah KD, Shah CV: Aortic arch syndrome with aortic incompetence . Vasc Dis 4:1-4, 1967. 22. Strachan W: The natural history of Takayasu arteriopathy . Q J Med 33:57-60, 1964. 23. Ueda H, Saito Y, Ito I, et al: Further immunological studies of aortitis syndrome . Jpn Heart J 12:1-21, 1971.Crossref 24. Asherson RA, Asherson GL, Schrire V: Immunological studies in arteritis of the aorta and great vessels . Br Med J 3:589-590, 1968.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Oct 1, 1978

References