Takayasu Arteritis discussion
 | This MRI angiography (gadolinium-enhanced / 1 breath hold - 34 sec ) image is from a 32 yo female patient with absent pulse in the right arm and transient ischemic attacks Try to make the diagnosis Having problems to partipate? |
This patient physical examination revealed more signs:
For purposes of classification, a patient shall be said to have Takayasu Arteritis if at least 3 of the following 6 criteria are present:
| Criterion | Definition |
| 1. Age at disease onset =< 40 yr | Development of symptoms or findings related to Takayasu arteritis at age =< 40 yr |
| 2. Claudication of extremities | Development and worsening of fatigue and discomfort in muscles of >= 1 extremity while in use, especially the upper extremities |
| 3. Decreased brachial artery pulse | Decreased pulsation of 1 or both brachial arteries |
| 4. BP difference > 10 mm Hg | Difference of > 10 mm Hg in systolic BP between arms |
| 5. Bruit over subclavian arteries or aorta | Bruit audible on auscultation over 1 or both subclavian arteries or abdominal aorta |
| 6. Arteriogram abnormality | Arteriographic narrowing or occlusion of the entire aorta, its primary branches, or large arteries in the proximal upper or lower extremities, not due to arteriosclerosis, fibromuscular dysplasia, or similar causes; changes usually focal or segmental |
BP = blood pressure
Arend WP et al. Arthritis Rheum. 1990;33:1129-1134.
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