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Boletín médico del Hospital Infantil de México
versão impressa ISSN 1665-1146
Resumo
MORENO-SANCHEZ, Amelia et al. Takayasu's arteritis as an incidental finding in a patient with celiac disease: the importance of positron emission computed tomography. Bol. Med. Hosp. Infant. Mex. [online]. 2023, vol.80, suppl.1, pp.82-86. Epub 11-Set-2023. ISSN 1665-1146. https://doi.org/10.24875/bmhim.22000122.
Background:
Takayasu arteritis is a large-vessel vasculitis which affects large-caliber elastic arteries, primarily the aorta and its main branches. It mainly affects women between 20-30 years, so it is rare in children.
Case report:
We describe the case of a 15-year-old female who was followed up since she was 9 years old due to celiac disease. At the age of 13, anaemia of chronic disorders associated to elevated C-reactive protein and erythrocyte sedimentation were detected. The patient remained asymptomatic. After excluding other diseases, we requested a positron emission computed tomography (PET-CT); lesions compatible with large-vessel vasculitis were detected. Cardiology evaluation showed an aneurysm in the right coronary artery. Angio-CT suggested Takayasu type III arteritis.
Conclusions:
The delay in the diagnosis of Takayasu arteritis in pediatric patients is quite common. In this case, we have found phase II lesions, with no previous phase I symptoms. However, PET-CT allowed the diagnosis of vasculitis, key to the diagnosis of the patient.
Palavras-chave : Pediatrics; PET-CT; Rheumatology; Takayasu; Vasculitis.