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Quick Scroll In takayasu arteroitis there is 07.03.04 (4 years ago) #1

In takayasu arteroitis there is
a) Intimal fibrosis
b) Renal hypertension
c) Coronary aneurysm
d) All of the above........a??
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Quick Scroll 07.04.04 (4 years ago) #2

In Takayasu's :

there is 1) intimal fibrosis

2)RENAL HYPERTENTION

BUT, about coronary aneurysm ?

In table of HARRISON 15th Pg.1964 :

the coronary abnormality includes : 1.chest pain

2.myocardial infarction

but if i have to go for single ans, it is D i.e all of above icon_lol.gif icon_lol.gif icon_lol.gif icon_lol.gif
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Quick Scroll 10.19.04 (3 years ago) #3

In takayasu arteroitis there is
a) Intimal fibrosis
b) Renal hypertension
c) Coronary aneurysm
d) All of the above........a?

Ans. D.All of above.

Takayasu's disease: "Pulseless diseases" is rare polyarteritis of unknown cause with special predilection for the branches of the aortic arch. It results in segmental stenosis, occlusions, and ANEURYSMS.
Hypertention related to proximal renal artery stenosis and AORTIC COARCTATION is present in over 25%.
Angiography is essential for Ds and most often will reveal combined occlusive and aneurysmal disease.

CMDT 2004, p.445

Sanya
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Quick Scroll 12.10.05 (2 years ago) #4

some more info on takayasu's arteritis----------

Takayasu's Arteritis is a rare, chronic, inflammatory disease primarily of the aorta and its branches. The subclavian, renal, carotid, and the ascending aorta arteries can also be involved. Takayasu's Arteritis affects more females than males and usually begins in the 2nd or 3rd decade of life. TA is occasionally called "pulseless disease" because there is difficulty in detecting peripheral pulses that sometimes occurs as a result of the vascular narrowing. It is also common for a patient to exhibit vascular bruits, and symptoms of their arterial involvement. The cause of TA is not known.

Symptoms may include: dizziness, fainting, low grade fever, muscle aches, weight loss, circulatory deficit, vision problems, angina, joint pain, claudication, malaise, hypertension, night sweats, stroke, fatigue

Making the diagnosis of TA can be extremely difficult. Unfortunately, it is very common for the disease to "smolder" in the walls of large blood vessels for many years, causing only non- specific symptoms, until major complication results. This can eventually lead to occlusion, complete closing of the vessels. There can be major complications resulting, in the dilation of the aorta with stretching of the aortic valve in the heart, resulting in severe valve damage, and critically reduced blood flow to an arm or leg. In addition, a stroke caused by high blood pressure of the blood vessels going to the brain, renal failure, and many other serious afflictions are also possible.

Diagnosis may be supported by abnormalities in the following: angiography (especially of aorta and branches), blood tests :sed rate (ESR), c-reactive protein, Albumin, Globulin and Fibrinogen, complete blood count, biopsy (rarely done), chest X-ray, ultrasound, arteriographic data, blood pressure measurements, magnetic resonance imaging studies, electrocardiogram

Diagnosis is difficult due to the erratic course of the disease.

Delay in diagnosis is common even when working with physicians experienced in vascular disease.

Synonyms include: pulseless disease, aorta arch syndrome, reverse coarction, young female arteritis

It is important for the Takayasu's Arteritis patient to work closely with his/her physician. make sure your physician accumulates facts on all your laboratory data, routine visits, medications, diagnostic tests, and surgical procedures. Make sure you listen to what signals your body may be telling you. Work together with a qualified physician to detect regression or progression of Takayasu's Arteritis.
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