2005, Number 1
<< Back Next >>
Arch Cardiol Mex 2005; 75 (1)
Inflammatory activity in Takayasu Arteritis. Detection through positron emission tomography (PET)
Alexánderson E, Soto ME, Ricalde A, Meave A, Reyes P
Language: Spanish
References: 25
Page: 82-85
PDF size: 50.53 Kb.
ABSTRACT
Takayasu arteritis (TA) is a chronic disease that affects mainly the aorta. Its etiology is still unknown, nevertheless it predominates in women and initiates primarily in the youth. This disease seems to have two different stages, an early stage that is characterized by an inflammatory process and a later stage characterized by vascular occlusion. Unitl now, diagnosis and classification of TA are made clinically, based on ACR; criteria and imaging studies as computed tomography and aorta angiographies. Currently, new imaging, non invasive studies, such as magnetic resonance (MRI) and positron emission tomography (PET) are being used. PET technique could be helpful in the diagnosis and detection of inflammatory activity in patients with TA because of its capacity to detect increased metabolism. We present the case of a female patient with TA diagnosis, which demonstrated clinical inflammatory activity that was corroborated by laboratory studies, MRI and PET.
REFERENCES
Ueda H, Morooka S, Ito I, Yamaguchi H, Takeda T, Saoito Y: Clinical observation of 52 cases of aortitis syndrome. Jpn Heart J 1969; 10: 277-88.
Strachan RW: The natural history of Takayasu’s arteriopathy. QJ Med 1984; 33: 57-69.
Lie JT: Takayasu arteritis. En: Curg A, Churg J, eds: Systemic vasculitides. New York: Igaku-Shoin, 1990: 159-79.
Kerr US, Hallahan CW, Giordano J: Takayasu arteritis. Ann Intern Med 1994; 120: 919-29.
Kerr U: Takayasu arteritis. Rheum Dis Clin North Am 1995; 21: 1041-58.
Lie JT: Takayasu arteritis: a currrent update. En: Ansell BM, Bacon PA, Lie JT, Yazici, eds. The vasculitides science and practice London. Capman and Hall, 1996: 181-98.
Sekiguchi M, Suzuki J: An overview on Takayasu arteritis. Heart Vessels 1992; Suppl 7: 68-72.
Shelhamer JH, Volkman DJ, Parrillo JE, Lawley TJ, Johnston MR, Fauci AS: Takayasu’s arteritis and therapy. Ann Intern Med 1985; 103: 121-6.
Hall S, Barr W, Lie JT, Stanson AW, Kazmier FJ, Hunder GG: Takayasu’s arteritis: A study of 32 North American patients. Medicine 1985; 64: 89-99.
Waern AU, Anderson P, Hemmingsson A: Takayasu arteritis. A hospital- region based study on currence, treatment and prognosis. Angiology 1983; 34: 311-20.
Ishikawa K: Survival and morbidity after diagnosis of occlusive thromboaortopathy (Takayasu disease). Am J Cardiol 1981; 47: 1026-32.
Ishikawa K: Patterns of symptoms and prognosis in occlusive thromboaortopathy (Takayasu disease). J Am Coll Cardiol 1986; 8: 1041-46.
Ishikawa K: Diagnostic approach and proposed criteria for the clinical diagnosis of Takayasu arteritis. J Am Coll Cardiol 1988; 12: 964-72.
Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, et al: The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis & Rheum 1990; 33: 1129-34.
Sharma BK, Jain S, Suri S, Numano F: Diagnostic criteria for Takayasu arteritis. Int J Cardiol 1996; 54 (Suppl 1): S141-S147.
Hata A, Makoto N, Ryutaro M: Angiographic findings of Takayasu arteritis: new classification. Int J Cardiol 1996; 54(Suppl): S155-S163.
Hayashi K, Fukushima T Matsunaga N: Takayasu arteritis. Decrease in aortic wall thickening following steroid therapy documented by CT. J Radiol 1986; 59: 281-83.
Tso E, Flamm SD, Ehite RD, Swartzman PR, Mascha E, Hoffman GS: Takayasu arteritis utility and limitations of magnetic resonance imaging in diagnosis and treatment. Arthritis & Rheum 2003; 46: 1634-42.
Bleeker-Rovers Ch, Bredie S, Van der Meer J, Frans HM, Owen W: Fluorine 18 fluorodeoxyglucose positron emission tomography in the diagnossis and follow-up of three patients with vasculitis. Am J Med 2004; 116-2001-13.
Dabague J, Reyes PA: Takayasu arteritis in México: A 38-year clinical perspective thorugh literature review. Int J Cardiol 1996; 54(Suppl 1): S103-9.
Bleeker-Rovers Ch, Bredie S, Van der Meer J, Corstens F, Owen W: Fluorine 18 fluorodeoxyglucose positron emission tomography in the diagnosis and follow-up of three patients with vasculitis. Am J Med 2004; 116(1): 50-3.
Webb M, Chambers A, Al-Nahhas A, Mason JC, Maudlin L, Frank J: The role of 18F-FDG PET in characterizing disease activity in Takayasu arteritis. Eur J Nucl Med Mol Imaging 2004; 31(5): 627-34.
Meller J, Strutz F, Siefker U, Sheel A, Sahlmann CO, LehmannK K, et al: Early diagnosis and follow-up of aortitis with [(18)F]FDG PET and MRI. Eur J Nucl Med Mol Imaging 2003; 30: 730-6.
Hara M, Goodman PC, Leder RA: FDG-PET finding in early-phase Takayasu arteritis. J Comput Assist Tomogr 1999; 23: 16-8.
Malik IS, Harare O, Al Nahhas A, AL-Nahhas A, Beatt K, Mason J: Takayasu´s arteritis management of left main item stenosis. Heart 2003; 89: e9.