Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2016  |  Volume : 27  |  Issue : 2  |  Page : 402--406

Takayasu arteritis associated with severe renovascular hypertension


Mohamed Hassani 
 Department of Nephrology and Hemodialysis, Military Hospital Moulay Ismail, Meknes, Morocco

Correspondence Address:
Mohamed Hassani
Department of Nephrology and Hemodialysis, Military Hospital Moulay Ismail, Meknes
Morocco

Takayasu arteritis (TA) is an inflammatory process frequently associated with stenosis and obliteration of the aorta and its primary branches. We report a 16-year-old girl in whom TA manifested mainly with a sudden decrease in visual acuity and severe arterial hypertension in both legs. Bilateral radial pulses were absent. Ultrasound showed renal size asymmetry and raised the possibility of renal artery stenosis. The diagnosis of TA was confirmed by computed tomography angiography, which showed a thickened abdominal aortic wall and narrowing of its lumen. In addition, occlusions of left renal artery and of both left and right subclavian arteries were observed. Hypertension was hardly under control by a combination of three antihypertensive drugs. The outcome was favorable with corticosteroids alone with regression of the clinical signs, disappearance of inflammation, and control of hypertension.


How to cite this article:
Hassani M. Takayasu arteritis associated with severe renovascular hypertension.Saudi J Kidney Dis Transpl 2016;27:402-406


How to cite this URL:
Hassani M. Takayasu arteritis associated with severe renovascular hypertension. Saudi J Kidney Dis Transpl [serial online] 2016 [cited 2020 Nov 28 ];27:402-406
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=2;spage=402;epage=406;aulast=Hassani;type=0