БОЛЕЗНЬ ТАКАЯСУ У ПОДРОСТКА. КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ И КОММЕНТАРИЙ

E.V. Serikova; I.S. Kovatsenko; N.N. Smirnova; E.I. Zhestyannikova; O.N. Tsyganova

doi:10.56871/CmN-W.2023.80.74.012

E.V. Serikova Children’s City Multidisciplinary Clinical Center for High Medical Technologies named after K.A. Rauhfus. Ligovsky pr., 8, Saint Petersburg, 191036
I.S. Kovatsenko First Saint-Petersburg State Medical University named after I.P. Pavlov. Leo Tolstoy str., 6–8. Saint Petersburg, Russia, 197022
N.N. Smirnova First Saint-Petersburg State Medical University named after I.P. Pavlov. Leo Tolstoy str., 6–8. Saint Petersburg, Russia, 197022
E.I. Zhestyannikova First Saint-Petersburg State Medical University named after I.P. Pavlov. Leo Tolstoy str., 6–8. Saint Petersburg, Russia, 197022
O.N. Tsyganova Children’s City Multidisciplinary Clinical Center for High Medical Technologies named after K.A. Rauhfus. Ligovsky pr., 8, Saint Petersburg, 191036

DOI: https://doi.org/10.56871/CmN-W.2023.80.74.012

Keywords: nonspecific aortoarteritis, Takayasu disease, children, pulse asymmetry

Abstract

Nonspecifi c aortoarteritis (NAA), or Takayasu disease, is a rare pathology related to large vascular vasculitis. Its characteristic feature is the weakening and asymmetry of the pulse. Diagnosis of NAA is diffi cult due to nonspecifi c manifestations in the onset of the disease, an extremely wide range of diff erential diagnostics and insuffi cient awareness of primary care physicians. The features of NAA in children have not been suffi ciently studied. The article provides a clinical observation of a 14-year-old girl with Takayasu disease proven in accordance with international criteria.

References

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Nasu T. Pathology of pulseless disease. A systematic study and critical review of twenty-one autopsy cases reported in Japan. Angiology. 1963; 14: 225–42.

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Danda D., Goel R., Joseph G. et al. Clinical course of 602 patients with Takayasu’s arteritis: comparison between Childhood-onset versus adult-onset di- sease. Rheumatology. 2020.

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Le Joncour A., Desbois A.C., Leroyer A.S. et al. Mast cells drive pathologic vascular lesions in Takayasu arteritis. J Allergy Clin Immunol. 2021.

Mutoh T., Shirai T., Ishii T. et al. Identification of two major autoantigens negatively regulating en- dothelial activation in Takayasu arteritis. Nat Com- mun. 2020; 11: 1253.

Ozen S., Pistorio A., Iusan S.M. et al. EULAR/PRINTO/ PRES criteria for Henoch–Schönlein purpura, child- hood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: Final classification criteria. Ann. Rheum. Dis. 2010; 69(5): 798–806. DOI: 10.1136/ard.2009.116657.

DISEASE TAKAYASUS IN A TEENAGER. CLINICAL OBSERVATION AND COMMENT

Abstract

References