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Background: Takayasu Arteritis is a vasculitis occurring mostly in young females which may present in diverse ways. Here we report a teenager with Takayasu Arteritis who presented with uncontrolled hypertension. This case depicts an atypical presentation of this disease where the girl visited many physicians for controlling the level of hypertension and put a diagnostic dilemma about the underlying etiology of young hypertension. Case presentation: A 13 year old girl presented with epistaxis, persistent headache and uncontrolled hypertension. Her clinical examination revealed normal radial, very feeble femoral and absent other lower limb pulses. There was a blood pressure discrepancy of 50/40 mm of Hg between two arms. There were bruits over multiple areas including the abdominal aorta. She had features of left ventricular hypertrophy. Her Arch aortogram showed hugely dilated arch of aorta which became abruptly normal just after origin of left subclavian artery. There was ostio-proximal stenosis of right bracheocephalic artery, left common carotid and left subclavian artery with post stenotic dilatation of all the vessels. Abdominal aortogram revealed critical stenosis of abdominal aorta above the origin of renal arteries with a pressure gradient of 80/11 mm of Hg. Conclusion: Takayasu?s Arteritis should also be kept in mind while searching for the cause of uncontrolled hypertension in the young age group.

  1. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ: Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics. 2004, 113 (3 pt 1): 475-482.PubMedView ArticleGoogle Scholar
  2. Ooi BS, Chen BTM, Toh CCS, Khoo OT: ?Cause of Hypertension in Young?. Br Med J. 1970, 3: 744-746. 10.1136/bmj.3.5725.744.PubMedPubMed CentralViewArticleGoogle Scholar
  3. Flynn JT: Evaluation and management of hypertension in childhood. ProgPediatrCardiol. 2001, 12: 177-188. 10.1016/S1058-9813(00)00071-0.PubMedView ArticleGoogle Scholar
  4. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents: The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004, 114 (2 suppl 4th report): 555-576.View ArticleGoogle Scholar
  5. Luma GB, Spoitta RT: ?Hypertension in Children and Adeloscent?. Am Fam Physician. 2006, 73 (9): 1558-1566.PubMedGoogle Scholar
  6. Franco MC, Christofalo DM, Sawaya AL, Ajzen SA, Sesso R: Effects of low birth weight in 8- to 13-yearold children: implications in endothelial function and uric acid levels. Hypertension. 2006, 48 (1): 45-50. 10.1161/01.HYP.0000223446.49596.3a.PubMedView ArticleGoogle Scholar
  7. Moore WE, Stephens A, Wilson T, Wilson W, Eichner JE: Body mass index and blood pressure screening in a rural public school system: the Healthy Kids Project. Prev Chronic Dis. 2006, 3 (4): A114-PubMedPubMed CentralGoogle Scholar
  8. Chugh KS, Jain S, Sakhuja V: Renovascular hypertension due to Takayasu?s Arteritis among Indian patients. QJM. 1992, 85: 833-843.PubMedGoogle Scholar
  9. Lupi-Herrera E, S?nchez-Torres G, Marcushamer J: Takayasu Arteritis. Clinical study of 107 cases. Am Heart J. 1977, 93: 94-103. 10.1016/S0002-8703(77)80178-6.PubMedView ArticleGoogle Scholar
  10. Numano F, Okawara M, Inomata H: Takayasu?s Arteritis. Lancet. 2000, 356: 1023-1025. 10.1016/S0140-6736(00)02701-X.PubMedView ArticleGoogle Scholar
  11. Watts R, Al Taiar A, Mooney J, Scott D, MacGregor A: The Epidemiology of Takayasu Arteritis in the UK. Rheumatology. 2009, 48: 1008-1011. 10.1093/rheumatology/kep153.PubMedView ArticleGoogle Scholar
  12. Johnston SL, Lock RJ, Gompels MM: Takayasu Arteritis: a review. J ClinPathol. 2002, 55: 481-486. 10.1136/jcp.55.7.481.PubMedPubMed CentralViewArticleGoogle Scholar
  13. Moriwaki R, Noda M, Yajima M: Clinical manifestations of Takayasu Arteritis in India and Japan?new classification of angiographic findings. Angiology. 1997, 48: 369-379.PubMedGoogle Scholar
  14. Jain S, Sharma N, Singh S: Takayasu Arteritis in children and young Indians. Int J Cardiol. 2000, 75: S153-S157.PubMedView ArticleGoogle Scholar
  15. Subramanyan R, Joy J, Balakrishnan KG: Natural history of aortoarteritis (Takayasu?s disease). Circulation. 1989, 80: 429-437. 10.1161/01.CIR.80.3.429.PubMedView ArticleGoogle Scholar
  16. Kerr GS, Hallahan CW, Giordano J: Takayasu Arteritis. Ann Intern Med. 1994, 120: 919-929.PubMedView ArticleGoogle Scholar
  17. Ishikawa K: Natural history and classification of occlusive thromboaortopathy (Takayasu?s disease). Circulation. 1978, 57: 27-35. 10.1161/01.CIR.57.1.27.PubMedView ArticleGoogle Scholar
  18. Shelhamer JH, Volkman DJ, Parrillo JE: Takayasu?s Arteritis and its therapy. Ann Intern Med. 1985, 103: 121-126.PubMedView ArticleGoogle Scholar
  19. Hoffman GS, Leavitt RY, Kerr GS: Treatment of Takayasu?s Arteritis (TA) with methotrexate (MTX). Arthritis Rheum. 1991, 34: S74-View ArticleGoogle Scholar
  20. Hoffmann GS, Leavitt RY, Kerr GS: Treatment of glucocorticoid-resistant or relapsing Takayasu Arteritis with methotrexate. Arthritis Rheum. 1994, 37: 578-582. 10.1002/art.1780370420.View ArticleGoogle Scholar
  21. Giordano JM: Surgical treatment of Takayasu?s Arteritis. Int J Cardiol. 2000, 75: S123-S128.PubMedView ArticleGoogle Scholar
  22. Sharma BK, Jain S, Bali HK: A follow-up study of balloon angioplasty and de-novo stenting in Takayasu Arteritis. Int J Cardiol. 2000, 75: S147-S152.PubMedView ArticleGoogle Scholar.

[Moumena esmaail einieh, Abdullah salman abdulatif alosayl, Mishari Mobark Al-Rashidi, Rawan Faisal aljeaid, Sarah Saeed Al Amoudi, AlAnoud Abdulrahman Alshamrani, Haya S. AlFaris, Shahad Saad Alhujaili. (2018); UNCONTROLLED YOUNG HYPERTENSION; A CASE REPORT. Int. J. of Adv. Res. 6 (1). 53-57] (ISSN 2320-5407). www.journalijar.com

Moumena esmaail einieh


Article DOI: 10.21474/IJAR01/6184       DOI URL: http://dx.doi.org/10.21474/IJAR01/6184

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