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Takayasu Arteritis with Severe Renal Artery Stenosis and an Aberrant Renal Artery in a Child: A Case Report and Discussion.

Authors :
Behera MR
Mohapatra M
Yadav SK
Source :
Mediterranean journal of rheumatology [Mediterr J Rheumatol] 2023 Jul 27; Vol. 34 (3), pp. 381-385. Date of Electronic Publication: 2023 Jul 27 (Print Publication: 2023).
Publication Year :
2023

Abstract

Takayasu arteritis (TA) is a chronic, idiopathic large vessel vasculitis mainly affecting the aorta and its major branches. It is one of the common causes of reno-vascular hypertension in Indian children. We report a ten-year-old boy who presented with hypertensive encephalopathy, proteinuria, and haematuria without any renal dysfunction. He was initially diagnosed to be a case of acute post streptococcal glomerulonephritis, but detailed clinical examination and haemato-radiological investigations revealed Takayasu arteritis, type V (P+). He had unilateral severe renal artery stenosis along with a small kidney and an aberrant renal artery on left side. He is found to have resistant hypertension, unresponsive to multiple anti-hypertensive drugs, and had a fatal outcome. This case illustrates renal involvement in TA and the significance of four-limb blood pressure measurement in any non-obese child with hypertension. Furthermore, the possible role of aberrant renal artery in the pathogenesis of resistant hypertension is discussed.<br />Competing Interests: None declared.<br /> (© 2023 The Mediterranean Journal of Rheumatology (MJR).)

Details

Language :
English
ISSN :
2529-198X
Volume :
34
Issue :
3
Database :
MEDLINE
Journal :
Mediterranean journal of rheumatology
Publication Type :
Report
Accession number :
37941868
Full Text :
https://doi.org/10.31138/mjr.230727.bt