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...

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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
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author Bindira Adhikari
Biraj Niraula
Polina Dahal
Anil Suvedi
Gaurav Subedi
author_facet Bindira Adhikari
Biraj Niraula
Polina Dahal
Anil Suvedi
Gaurav Subedi
author_sort Bindira Adhikari
collection DOAJ
description 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.
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institution DOAJ
issn 2050-0904
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publishDate 2025-02-01
publisher Wiley
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series Clinical Case Reports
spelling doaj-art-9bc2a4a37e9a44b68dba667bdca1fce42025-08-20T03:11:06ZengWileyClinical Case Reports2050-09042025-02-01132n/an/a10.1002/ccr3.70174Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed RecognitionBindira Adhikari0Biraj Niraula1Polina Dahal2Anil Suvedi3Gaurav Subedi4Chitwan Medical College Bharatpur NepalChitwan Medical College Bharatpur NepalChitwan Medical College Bharatpur NepalChitwan Medical College Bharatpur NepalChitwan Medical College Bharatpur NepalABSTRACT 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.https://doi.org/10.1002/ccr3.70174cardiovascular disorderchronic diseaseophthalmologyvascular surgery
spellingShingle Bindira Adhikari
Biraj Niraula
Polina Dahal
Anil Suvedi
Gaurav Subedi
Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition
Clinical Case Reports
cardiovascular disorder
chronic disease
ophthalmology
vascular surgery
title Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition
title_full Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition
title_fullStr Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition
title_full_unstemmed Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition
title_short Challenges in Diagnosis and Management of Takayasu Arteritis: A Case Report Highlighting Vascular Complications and Delayed Recognition
title_sort challenges in diagnosis and management of takayasu arteritis a case report highlighting vascular complications and delayed recognition
topic cardiovascular disorder
chronic disease
ophthalmology
vascular surgery
url https://doi.org/10.1002/ccr3.70174
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