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2013 Month : January Volume : 2 Issue : 3 Page : 189-193UNUSUAL PRESENTATION OF TAKAYASU ARTERITIS AS DILATED CARDIOMYOPATHY IN YOUNG MALE
Dolly Joseph, Prakash Joshi, Pranay Bajpai, Padmnabh Sharma, R. K. Jha
CORRESPONDING AUTHOR
Dr. Dolly Joseph.
Department of Medicine.
Sri Aurbindo Institute of Medical Sciences and PG Institute,
Indore Ujjain state highway, Ujjain ,Madhya Pradesh
E-mail: shaji_dolly22@yahoo.co.in
Ph: 0091 9826755137
ABSTRACT: Takayasu arteritis is a rare granulomatous systemic disease characterized by stenosis or obliteration of large & medium sized arteries mainly aorta and its main branches as well as pulmonary artery. Although this disease has variable presentation, but its presentation as Dilated cardiomyopathy is rare. Renal involvement is also less frequently reported in young males. We report a case of 20 yr old male who presented with features of congestive heart failure, renal failure and incidentally detected with absent right radial pulse and hypertension .His CT angiography revealed occlusion of right subclavian artery, superior mesenteric artery & bilateral renal arteries with splenic infarct suggestive of Takayasu arteritis.
This case report illustrates a rare case of dilated cardiomyopathy and renovascular hypertension with renal failure secondary to Takayasu Arteritis which responded with systemic corticosteroids.
KEY WORDS: Absent pulse, Heart Failure, Malignant Hypertension, Renal failure.