Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition

ABSTRACT Takayasu arteritis is a rare systemic inflammatory condition that primarily affects medium and large arteries, mainly in young Asian women with an estimated incidence of 1–2 per million. Diagnosis is challenging due to nonspecific early symptoms, resulting in an insidious clinical course un...

Full description

Saved in:
Bibliographic Details
Main Authors: Bindira Adhikari, Biraj Niraula, Polina Dahal, Anil Suvedi, Gaurav Subedi
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70174
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT Takayasu arteritis is a rare systemic inflammatory condition that primarily affects medium and large arteries, mainly in young Asian women with an estimated incidence of 1–2 per million. Diagnosis is challenging due to nonspecific early symptoms, resulting in an insidious clinical course until vascular complications arise. A 30‐year female presented with progressive easy fatigue over 4 years. She developed recent visual disturbances, headaches, and dizziness. Examination revealed unrecordable blood pressures and vascular bruits. Imaging revealed vascular involvement including stenosis of arch of aorta and its all branches. The available treatments can ease symptoms and slow progression, but the late diagnosis caused lifelong morbidity, with no procedure to resolve persistent fatigue. TA poses diagnostic challenges due to its nonspecific early symptoms and risk of severe vascular complications. This case highlights the importance of considering TA in young women with vague systemic inflammatory symptoms.
ISSN:2050-0904