MRCEM Notes

Takayasu's arteritis

Takayasu's arteritis is a large vessel vasculitis. It typically causes occlusion of the aorta and questions commonly refer to an absent limb pulse. It is more common in females and Asian people

Features
  • systemic features of a vasculitis e.g. malaise, headache
  • unequal blood pressure in the upper limbs
  • carotid bruit
  • intermittent claudication
  • aortic regurgitation (around 20%)

Angiography showing multiple stenoses in the branches of the aorta secondary to Takayasu's arteritis

Associations
  • renal artery stenosis

Management
  • steroids

Full-size image