Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report

Takayasu arteritis (TA) is a rare vasculitis primarily affecting large arteries, leading to stenosis, occlusion, and aneurysm formation. Early diagnosis is difficult due to nonspecific symptoms. We present a case of a 30-year-old hypertensive female with progressive weakness, pain, and numbness in h...

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Main Authors: Zahin Shahriar, MBBS, Deluwar Hussen, MBBS, Shaimul Reza, MBBS, Afia Zahin, MBBS, Anusree Das, MBBS
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325004200
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author Zahin Shahriar, MBBS
Deluwar Hussen, MBBS
Shaimul Reza, MBBS
Afia Zahin, MBBS
Anusree Das, MBBS
author_facet Zahin Shahriar, MBBS
Deluwar Hussen, MBBS
Shaimul Reza, MBBS
Afia Zahin, MBBS
Anusree Das, MBBS
author_sort Zahin Shahriar, MBBS
collection DOAJ
description Takayasu arteritis (TA) is a rare vasculitis primarily affecting large arteries, leading to stenosis, occlusion, and aneurysm formation. Early diagnosis is difficult due to nonspecific symptoms. We present a case of a 30-year-old hypertensive female with progressive weakness, pain, and numbness in her limbs. Physical examination revealed absent pulses in the left upper limb and lower limbs, and elevated blood pressure. Imaging showed a ''macaroni sign'' on carotid ultrasound and significant vascular involvement, including aneurysmal dilation of the ascending aorta and narrowing of the carotid and renal arteries on CT angiography. The patient was managed medically due to financial constraints. Takayasu arteritis often progresses to vascular complications, requiring imaging for accurate diagnosis and assessment of vascular damage. Early detection and appropriate treatment are essential to prevent irreversible damage.
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series Radiology Case Reports
spelling doaj-art-d7f91df64e6e48dcba1d5ac839ae80222025-08-20T03:26:38ZengElsevierRadiology Case Reports1930-04332025-08-012084032403610.1016/j.radcr.2025.04.118Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case reportZahin Shahriar, MBBS0Deluwar Hussen, MBBS1Shaimul Reza, MBBS2Afia Zahin, MBBS3Anusree Das, MBBS4Dhaka Medical College, Dhaka, Bangladesh; Corresponding author.M Abdur Rahim Medical College, Dinajpur, BangladeshDhaka Medical College, Dhaka, BangladeshMymensingh Medical College, Mymensingh, BangladeshM Abdur Rahim Medical College, Dinajpur, BangladeshTakayasu arteritis (TA) is a rare vasculitis primarily affecting large arteries, leading to stenosis, occlusion, and aneurysm formation. Early diagnosis is difficult due to nonspecific symptoms. We present a case of a 30-year-old hypertensive female with progressive weakness, pain, and numbness in her limbs. Physical examination revealed absent pulses in the left upper limb and lower limbs, and elevated blood pressure. Imaging showed a ''macaroni sign'' on carotid ultrasound and significant vascular involvement, including aneurysmal dilation of the ascending aorta and narrowing of the carotid and renal arteries on CT angiography. The patient was managed medically due to financial constraints. Takayasu arteritis often progresses to vascular complications, requiring imaging for accurate diagnosis and assessment of vascular damage. Early detection and appropriate treatment are essential to prevent irreversible damage.http://www.sciencedirect.com/science/article/pii/S1930043325004200Takayasu arteritisMultivessel involvementCT angiographyMR angiographyVascular disease
spellingShingle Zahin Shahriar, MBBS
Deluwar Hussen, MBBS
Shaimul Reza, MBBS
Afia Zahin, MBBS
Anusree Das, MBBS
Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report
Radiology Case Reports
Takayasu arteritis
Multivessel involvement
CT angiography
MR angiography
Vascular disease
title Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report
title_full Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report
title_fullStr Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report
title_full_unstemmed Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report
title_short Type V Takayasu arteritis with multivessel involvement: diagnostic challenges and imaging insights in a young female: A case report
title_sort type v takayasu arteritis with multivessel involvement diagnostic challenges and imaging insights in a young female a case report
topic Takayasu arteritis
Multivessel involvement
CT angiography
MR angiography
Vascular disease
url http://www.sciencedirect.com/science/article/pii/S1930043325004200
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