Takayasu Arteritis as an Odd Cause of Chest Pain

Authors

DOI:

https://doi.org/10.17987/icfj.v6i0.192

Keywords:

Takayasu arteritis, vasculitis, vascular disease, coronary artery disease

Abstract

We describe a case of Takayasu arteritis with unusual presentation, having chest pain as the main symptom and a nasal septal perforation as a rare complication, without upper and lower extremities, abdominal, neck or cerebral compromise. The patient, a 34 year-old male, previously healthy, presented with acute onset of chest pain, dyspnea and severe compromise of his functional status. Severe stenosis of pulmonary arteries and coronaries, as well as signs of aortitis were found in a CT angiography of the thorax, pulmonary angiography and right and left heart catheterization. Anti-neutrophil cytoplasmic antibodies were positive. The patient received 750 mg of Methylprednisolone and monthly bolus of Cyclophosphamide. Six months after the diagnosis, the patient developed a nasal septal perforation. This is the first reported case of Takayasu arteritis with rapidly progressing coronary disease as the only presentation, complicated by a nasal septal perforation. 

Author Biographies

Santiago Bernal-Macias, Universidad del Rosario

Center for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences

Maria A. Alzate, Universidad del Rosario

Center for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences

Adriana Rojas-Villarraga, Universidad del Rosario

Center for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences

References

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Shewan LG, Coats AJS, Henein M. Requirements for ethical publishing in biomedical journals. International Cardiovascular Forum Journal 2015;2:2 DOI: 10.17987/icfj.v2i1.4

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Published

2016-05-04

Issue

Vol. 6 (2016)

Section

Letters to the Editor

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