A 23yo female presents with paresthesias and loss of distal pulses in her arms. She is noted to be hypertensive. She describes feeling unwell a month prior with fever and night sweats. What is the most probable dx?
a. Kawasaki disease
b. Takayasu arteritis
c. Buerger’s disease
d. Embolism
e. Raynaud’s phenomenon
Ans. The key is B. Takayasu arteritis [Takayasu arteritis is a granulomatous inflammation of the aorta and its major branches. Criteria:
Age of 40 years or younger at disease onset
Claudication of the extremities
Decreased pulsation of 1 or both brachial arteries
Difference of at least 10 mm Hg in systolic blood pressure between arms
Bruit over 1 or both subclavian arteries or the abdominal aorta
Arteriographic narrowing or occlusion of the entire aorta, its primary branches, or large arteries in the upper or lower extremities that is not due to arteriosclerosis, fibromuscular dysplasia, or other causes].