J Korean Soc Radiol.  2011 Nov;65(5):487-490.

Takayasu Arteritis Associated with Sarcoidosis: A Case Report

Affiliations
  • 1Department of Radiology, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea. jjblue@eulji.ac.kr
  • 2Department of Internal Medicine, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Abstract

Takayasu arteritis associated with sarcoidosis is very rare with only a few cases reported. We report on a case of a 55-year-old woman who was incidentally diagnosed with sarcoidosis and demonstrated numbness and weakness of the left upper limb and lower extremities associated with Takayasu arteritis.


MeSH Terms

Female
Humans
Hypesthesia
Lower Extremity
Middle Aged
Sarcoidosis
Takayasu Arteritis
Upper Extremity
Vasculitis

Figure

  • Fig. 1 Takayasu arteritis associated with sarcoidosis in a 55-year-old woman. A. Chest radiograph shows widening of the mediastinal silhouette and narrowing with extensive calcification of the descending aortic wall (black arrows). B, C. Contrast-enhanced CT images show circumferential wall thickening and narrowing of the proximal right subclavian (arrows) and left common carotid (open arrows) arteries, and bilateral hilar and mediastinal enlarged nodes (long arrows). D. Sagittal reformatted MIP image shows extensive calcification of the descending aortic wall (arrows). E. Selective left subclavian arteriography shows critical occlusion of the left subclavian artery with collateral vessels (arrows). F. FDG-PET CT scanning shows increased uptake in bilateral enlarged mediastinal lymph nodes (arrows). Note.-FDG-PET = 18-F-fluorodeoxyglucose positron emission tomography, MIP = maximum intensity projection


Reference

1. Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, et al. Takayasu arteritis. Ann Intern Med. 1994; 120:919–929.
2. Costabel U, Hunninghake GW. ATS/ERS/WASOG statement on sarcoidosis. Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders. Eur Respir J. 1999; 14:735–737.
3. Weiler V, Redtenbacher S, Bancher C, Fischer MB, Smolen JS. Concurrence of sarcoidosis and aortitis: case report and review of the literature. Ann Rheum Dis. 2000; 59:850–853.
4. Hamzaoui A, Salem R, Klii R, Harzallah O, Berriche O, Golli M, et al. Co-existing sarcoidosis and Takayasu arteritis: report of a case. Int Arch Med. 2011; 4:9.
5. Bloch DA, Michel BA, Hunder GG, McShane DJ, Arend WP, Calabrese LH, et al. The American College of Rheumatology 1990 criteria for the classification of vasculitis. Patients and methods. Arthritis Rheum. 1990; 33:1068–1073.
6. Fernandes SR, Singsen BH, Hoffman GS. Sarcoidosis and systemic vasculitis. Semin Arthritis Rheum. 2000; 30:33–46.
7. Maeda S, Murao S, Sugiyama T, Utaka I, Okamoto R. Generalized sarcoidosis with "sarcoid aortitis". Acta Pathol Jpn. 1983; 33:183–188.
8. Park JH, Chung JW, Im JG, Kim SK, Park YB, Han MC. Takayasu arteritis: evaluation of mural changes in the aorta and pulmonary artery with CT angiography. Radiology. 1995; 196:89–93.
9. Matsunaga N, Hayashi K, Sakamoto I, Ogawa Y, Matsumoto T. Takayasu arteritis: protean radiologic manifestations and diagnosis. Radiographics. 1997; 17:579–594.
Full Text Links
  • JKSR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr