Abstract
Takayasu's arteritis (TA) is an uncommon, chronic inflammatory disease of elastic arteries such as the aorta, its larger branches and the pulmonary artery trunk, and develops into an obstructive process. Antiphospholipid syndrome (APS) is characterized by obstetric and thrombotic complications in the presence of antiphospholipid antibodies. It can happen in an isolated way or in association with connective tissue diseases, mainly systemic lupus erythematosus (SLE). The association of APS and SLE with TA is rarely described in the foreign reports, but not yet in Korea. We described a case of TA in a patient with APS secondary to SLE.
References
1. Hughes GRV, Harris NN, Gharavi AE. The anticardiolipin syndrome. J Rheumatol. 1986; 13:486–9.
2. Vanoli M, Bacchiani G, Origg L, Scorza R. Takayasu's arteritis: a changing disease. J Nephrol. 2001; 14:497–505.
3. Siguier F, Godeau P, Benichou C. Takayasu's syndrome and lupus disease. Ann Med Inter. 1970; 121:531–5.
4. Takahashi S, Sasagawa M, Mitsuma T. A case of aortitis syndrome complicated with systemic lupus erythromatosus. Intern Med. 1985; 56:793–6.
5. 이승훈, 박용범, 정현주, 한대석, 이수곤. 타카야수동 맥염에 동반된 루푸스 신염 1례. 대한류마티스학회지. 2001; 8:118–22.
6. Santiago MB, Paz O. Rare association of antiphospholipid syndrome and Takayasu arteritis. Clin Rheumatol. 2007; 26:821–2.
7. Yokoi K, Hosoi E, Akaike M, Shigekiyo T, Saito S. Takayasu's arteritis associated with antiphospholipid antibodies: report of two cases. Angiography. 1996; 47:1309–11.
8. Caso V, Paciaroni M, Parnetti L. Stroke related to carotid artery dissection in a young patient with takayasu arteritis, systemic lupus erythromatosis and antiphospholipid antibody syndrome. Cerebrovasc Dis. 2002; 13:67–9.
9. 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.
10. Choe YH, Han BK, Koh EM, Kim DK, Do YS, Lee WR. Takayasu's arteritis: assessment of disease activity with contrast-enhanced MR imaging. AJR Am J Rhentgenol. 2000; 175:505–11.
11. Le Thi Thuong D, Tieulie N, Costedoat N, Andreu MR, Wechsler B, Vauthier-Brouzes D, et al. The HELLP syndrome in the antiphospholipid syndrome: retrospective study of 16cases in 15 women. Ann Rheum Dis. 2005; 64:273–8.
12. Saxe PA, Altman RD. Takayasu's arteritis syndrome associated with systemic lupus erythromatosus. Semin Arthritis Rheum. 1992; 21:295–305.