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Year : 2010  |  Volume : 13  |  Issue : 4  |  Page : 467-469

Takayasu's disease in a young black boy

Rheumatology Unit, Inkosi Albert Luthuli Central Hospital, Durban, South Africa

Correspondence Address:
S A Oguntona
Rheumatology Unit, Inkosi Albert Luthuli Central Hospital, Durban
South Africa
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Source of Support: None, Conflict of Interest: None

PMID: 21220867

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Background: Takayusu's disease is a rare disease affecting women predominantly during the child- bearing age. It is a primary vasculitis condition of large-vessels that responds well to steroid therapy. Immunosuppressives and vascular reconstruction may be needed as necessary. Procedure: Reference was made to the case note of this young boy who was being co-managed by cardiology and vascular clinics. The diagnosis of Takayasu's disease was confirmed by the rheumatology unit and appropriate literature search was done. Result: Takayusu's disease responds well to steroid therapy as exemplified by this patient. There was no relapse of the active inflammation after six months of steroid therapy. Conclusion: A high index of suspicion must be exercise in diagnosing Takayasu's disease. It could be difficult to have a clue early in the disease process because of non-specific presentations. Appropriate referral should however be made to Rheumatologist when the diagnosis is suspected. This will go a long way in delaying the morbidity that is associated with this rare disease.

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