A patient with familial Takayasu's arteritis presenting with fever of unknown origin
Journal
Journal of the Formosan Medical Association
Journal Volume
97
Journal Issue
5
Pages
351-353
Date Issued
1998
Author(s)
Abstract
Takayasu's arteritis rarely presents with fever of unknown origin. We describe a 14-year-old girl who was admitted with a 2-month history of fever of unknown origin associated with vague pain in her left upper arm. The constitutional symptoms responded to a trial of steroid therapy for suspected collagen-vascular disease, but flared up when the dose was tapered. An asymmetric radial pulse was recognized incidentally during follow-up examination; diagnosis of Takayasu's arteritis was confirmed by Duplex- ultrasonography and angiography. Takayasu's arteritis must be considered when evaluating children with fever of unknown origin, especially those with a positive family history. Careful assessment of the peripheral vascular system with better interpretation of limb symptoms should allow early, appropriate treatment to prevent irreversible vascular damage.
SDGs
Other Subjects
adolescent; aorta arch syndrome; article; case report; collagen disease; doppler flowmeter; family history; female; follow up; human; human cell; human tissue; pyrexia idiopathica; steroid therapy; vascular disease; Adolescent; Female; Fever of Unknown Origin; Humans; Takayasu's Arteritis
Type
journal article