Progression of a rare disease, takayasu arteritis, with hematologic and gastrointestinal manifestations: A four-year follow-up study

Authors

Daniel Hernan Sacoto, Internal Medicine, Metropolitan Medical Center, New York, USA.
Valentina Turbay-Caballero, Advocate Aurora HealthFollow
Tiago Reyes-Castro, Internal Medicine, New York Medical College, Metropolitan Hospital Center, New York, USA.
Bryan S. Quintanilla, Internal Medicine, New York Medical College, Metropolitan Hospital Center, New York, USA.
Delatre Lolo, Internal Medicine, New York Medical College, Metropolitan Hospital Center, New York, USA.

Recommended Citation

Sacoto DH, Turbay-Caballero V, Reyes-Castro T, Quintanilla BS, Lolo D. Progression of a Rare Disease, Takayasu Arteritis, With Hematologic and Gastrointestinal Manifestations: A Four-Year Follow-Up Study. Cureus. 2023;15(9):e45950. Published 2023 Sep 25. doi:10.7759/cureus.45950

Affiliations

Advocate Christ Medical Center

Abstract

Takayasu arteritis (TA) is a heterogeneous disease whose presentation and progression have not yet been well described. An elderly female was diagnosed with TA after presenting with bilateral arm claudication, elevated ESR, and bilateral subclavian arterial stenosis. In the first two years after diagnosis, she was diagnosed with monoclonal gammopathy of undetermined significance and alpha thalassemia minor. For the next two years, she presented with a non-ST elevation myocardial infarction, three oozing Dieulafoy lesions, and eosinophilic esophagitis. As we observed, TA can have an unusual and unpredictable progression. Therefore, a multidisciplinary approach and clinical surveillance are paramount.

Type

Article

PubMed ID

37885508