Ultrasonographic Study and Long-term Follow-up of Takayasu's Arteritis

Although vasculitides occur in patients with HIV, only 4 previous cases of Takayasu’s arteritis (TA) have been reported in HIVpatients. We describe the first case of TA in an HIV positive patient with successful treatment and long term follow up. A38-year-old woman who was HIV positive for the last 5 years on antiretroviral medications presented with increasing pain in herleft arm. Blood pressure and pulse were unrecordable in that arm. Laboratory testing revealed hemoglobin 7.9 g/dl, CRP 98.8 mg/L, CD4 675 cells/μl and HIV viral load < 48 copies/ml. Both MRA and standard angiography demonstrated occlusion of theleft subclavian artery from its origin to the vertebral artery where it was reconstituted via retrograde flow from the left vertebralartery and left carotid artery branches (subclavian steal). Narrowing of the vertebral artery was also noted. Treatment withprednisone and methotrexate for one year improved her symptoms and stabilized her lesions without infectious complications. Follow up 4 years after stopping therapy revealed mild symptoms and stable lesions on MRA.

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Long-Term Clinical Follow-up in A Case of Takayasu's Arteritis Involving the Ostium of Left Coronary Artery after Ostioplasty

Korean Circulation Journal ◽

10.4070/kcj.2001.31.2.246 ◽

2001 ◽

Vol 31 (2) ◽

pp. 246 ◽

Cited By ~ 2

Author(s):

Kyung Tae Kang ◽

Myung Ho Jeong ◽

Woo Kon Jeong ◽

Sang Hyun Lee ◽

Jay Young Rhew ◽

...

Keyword(s):

Coronary Artery ◽

Left Coronary Artery ◽

Takayasu’S Arteritis ◽

Takayasu's Arteritis

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THU0209 Efficacy of anti-TNF therapy in 15 patients with refractory takayasu’s arteritis: Long term unicentric follow-up

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2012-eular.2174 ◽

2013 ◽

Vol 71 (Suppl 3) ◽

pp. 226.1-226 ◽

Cited By ~ 2

Author(s):

E. Tombetti ◽

E. Baldissera ◽

S. Franchini ◽

F. Motta ◽

P. Aiello ◽

...

Keyword(s):

Takayasu’S Arteritis ◽

Takayasu's Arteritis

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Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

Behavioral and Brain Sciences ◽

10.1017/s0140525x1800105x ◽

2019 ◽

Vol 42 ◽

Cited By ~ 2

Author(s):

John P. A. Ioannidis

Keyword(s):

Mental Health ◽

Mental Disease ◽

Brain Disorders ◽

Social Stressors ◽

Labor Education ◽

Mental Diseases ◽

Long Term Follow Up ◽

Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

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