Takayasu arteritis

Overview

Takayasu’s arteritis is a rare form of vasculitis caused by inflammation of the aorta—the large artery that carries blood from the heart to the rest of the body—and its major branches. It is believed to be immune-mediated, meaning the immune system may mistakenly attack the arteries, causing damage and narrowing.

Common Symptoms

Symptoms occur in two phases:

The first, or systemic phase, reflects active inflammation and includes fever, fatigue, weight loss, arthritis, and non-specific aches and pains.

The second, or occlusive phase, results from the narrowing of affected arteries and may include limb pain during activity, vision problems, dizziness when standing, and headaches.

Coexisting Diseases and Conditions

Rarely, Takayasu’s arteritis may occur alongside Crohn’s disease or autoimmune thyroiditis.

Risk Factors and Prevalence

Takayasu’s arteritis is most likely to develop in females who are 40 years or younger. The condition is also common among those of Asian descent.

Sources

  1. Sources
    1. Tombetti, E., & Mason, J. C. (2019). Takayasu arteritis: advanced understanding is leading to new horizons. Rheumatology (Oxford, England)58(2), 206–219. https://doi.org/10.1093/rheumatology/key040

    2. Tacoy G. (2018). Management of Takayasu arteritis. Future cardiology14(2), 105–108. https://doi.org/10.2217/fca-2017-0030

    3. F Guédon, A., Bourgade, R., Elhannani, M., Toquet, C., Espitia, O., Fain, O., & Mekinian, A. (2023). Artérite de Takayasu [Takayasu’s arteritis]La Revue du praticien73(4), 400–405.

    4. Kerr G. (1994). Takayasu’s arteritis. Current opinion in rheumatology, 6(1), 32–38. https://doi.org/10.1097/00002281-199401000-00006

    5. Esatoglu, Sinem Nihal; Hatemi, Gulen. Takayasu arteritis. Current Opinion in Rheumatology 34(1):p 18-24, January 2022. | DOI: 10.1097/BOR.0000000000000852

    6. Espinoza, J. L., Ai, S., & Matsumura, I. (2018). New Insights on the Pathogenesis of Takayasu Arteritis: Revisiting the Microbial Theory. Pathogens, 7(3), 73. https://doi.org/10.3390/pathogens7030073

    7. Takayasu’s Arteritis. (n.d.). Retrieved from https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Takayasus-Arteritis

    8. What is the difference between Takayasu’s and giant cell arteritis? (n.d.). Vasculitis Foundation. Retrieved from https://www.vasculitisfoundation.org/mcm_faq/what-is-the-difference-between-takayasus-and-giant-cell-arteritis/

    9. Wan, J., et al. (2020). Comparison of Clinical Features at the Onset of Takayasu’s Arteritis According to Age and Sex. Current vascular pharmacology, 18(1), 80–86. https://doi.org/10.2174/1570161117666190621152506