Phlebitis in Takayasu arteritis: A case-based literature review.
Takayasu arteritis
phlebitis
recurrence/relapse
treatment
vein
Journal
International journal of rheumatic diseases
ISSN: 1756-185X
Titre abrégé: Int J Rheum Dis
Pays: England
ID NLM: 101474930
Informations de publication
Date de publication:
04 Jun 2023
04 Jun 2023
Historique:
revised:
09
03
2023
received:
21
02
2023
accepted:
21
05
2023
medline:
4
6
2023
pubmed:
4
6
2023
entrez:
4
6
2023
Statut:
aheadofprint
Résumé
Takayasu arteritis (TAK) is the main type of large vessel arteritis in young adults, which mainly affects the aorta and its main branches, leading to clinical manifestations such as syncope, intermittent limb claudication, hypertension, and abdominal pain. Among them, venous involvement is rarely reported. Here we show a case of TAK presenting as phlebitis. This was a 27-year-old woman, who initially admitted to our hospital with myalgia of the upper and lower extremities and night sweats. She was diagnosed as TAK according to the 1990 American College of Rheumatology TAK criteria. Surprisingly, vascular ultrasonography revealed wall thickening as indicated by macaroni sign of the multiple veins. TAK phlebitis appeared at the active phase, while disappearing rapidly at remission. Phlebitis might have a close relationship with disease activity. By retrospective study in our department, the estimated incidence rate of phlebitis might be 9.1% in TAK. With the literature review, it revealed that phlebitis might be an ignored manifestation in active TAK. However, due to the smaller sample size, it should be noted that a direct cause-effect relationship cannot be established.
Identifiants
pubmed: 37270684
doi: 10.1111/1756-185X.14762
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Health Commission of Zhejiang Province
ID : 2019ZD043
Organisme : Zhejiang Medical Association
ID : 2017ZYC-A19
Informations de copyright
© 2023 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.
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