Takayasu 's Arteritis in Children with Hypertensive Encephalopathy as Initial Symptom:A Case Analysis and Review of Relevant Literatures
YANG Xin
LU Li-qun
HUANG Li
WANG Yan
WANG Xu
DENG Guo-qing
Abstract：Objective To analyze the clinical characteristics of Takayasu's arteritis (TA) and to raise the clinical awareness of TA with hypertensive encephalopathy as initial symptom. Methods A retrospective study of one child with TA was performed, and the related literature was reviewed. Results This patient was admitted to hospital and diagnosed with in-tracranial infection for fever for 6 days, headache and vomitting for 4 days, paroxysmal convulsion for 1 day. The head CT scan did not show abnormal findings. Then hypertension and proteinuria were found in this patient. The signs were once con-sidered to be caused by suspected renal disease and hypertensive encephalopathy. This case was diagnosed as TA by thoracic and abdominal Doppler ultrasound after the vascular murmur around the navel was heard. The disease was soon controlled after medication of oral prednisone and low-dose dipyridamole and there was no disease activity after a 6-month follow-up. Conclu-sion TA in children can invade multiple organs and systems. The clinical manifestations are lack of speciality. We should improve the awareness of TA. Early diagnosis and treatment can improve the prognosis of the disease.
Keywords：ArteritisChildrenHypertensive encephalopathyMisdiagnosisIntracranial infection
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 17-19 )