© 2003 by BMJ Publishing Group & European League Against Rheumatism
UNUSUAL AND MEMORABLE
Case Number 27: Jaw claudication in Takayasu’s disease
Series editor: Gary D Wright
Leiden University Medical Centre, The Netherlands
Correspondence to:
Correspondence to:
Dr S E R Jeurissen, Zeilstraat 112, The Hague, The Netherlands 2586RG;
s_jeurissen@hotmail.com
Keywords: Takayasu’s disease; jaw claudication
| The first 150 words of the full text of this article appear below. |
A 30 year old woman presented with a three week history of symmetrical jaw claudication and episodes of pain in the left arm with a blue discolouration and loss of strength. Two years previously she was given a tentative diagnosis of Takayasu’s disease after multiple large arterial vascular problems and severe general malaise. No immunosuppressive treatment had yet been started.
At that time all branches of the aortic arch were well perfused (fig 1
). Even though no evident sign of temporal artery involvement was found, a temporal artery biopsy was performed, in which no inflammation was found.
[in a new window] Figure 1 Branches of the aortic arc.
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Because a relapse of the vascular disorder was suspected, a magnetic resonance angiogram (MRA) was made (fig 2). The MRA showed a total occlusion of the left carotid, subclavian, and vertebral artery (right arrow). There was some retrograde filling of the left subclavian artery. The right
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