Takayasu arteritis with subclavian steal syndrome: Case report in Mexico
DOI:
https://doi.org/10.59420/remus.13.2025.274Keywords:
Takayasu arteritis, Subclavian steal syndrome, Large vessel arteritis, HypertensionAbstract
We report a case of Takayasu arteritis in a female patient presenting with hypertension and diminished pulses in the left limbs. Takayasu arteritis is a large-vessel vasculitis primarily affecting the aorta and its major branches, with an unknown pathophysiology. It is a rare disease, and its incidence and prevalence in Mexico are not well established. The typical presentation occurs in women between 10 and 40 years of age. The diagnosis should be suspected in patients with diminished or absent pulses, and early detection is crucial to prevent severe ischemic complications, such as retinopathy, cerebrovascular disease, and premature death.
Downloads
References
- Gamboa P. Arteritis de Takayasu. Rev Colomb Cardiol. 2020;27(5):428-33. https://doi.org/10.1016/j.rccar.2020.05.005
- Soto ME, Espinola N, Flores-Suárez LF, Reyes PA. Takayasu arteritis: clinical features in 110 Mexican Mestizo patients and cardiovascular impact on survival and prognosis. Clin Exp Rheumatol. 2008;26:S9e15
- Roberts JR. Takayasu arteritis. Medscape; 2024. Disponible en: https://emedicine.medscape.com/article/332378-overview#a6?form=fpf
- Tungate R, Patel PM. Takayasu arteritis. In: Ferri FF, editor. Ferri's Clinical Advisor 2025. 1st ed. Philadelphia: Elsevier; 2025. p. 1052.e4-1052.e8. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9780443117244009868
- Utilidad relevante de las técnicas de imagen para el diagnóstico en la arteritis de Takayasu. Gaceta FM. 2019. Disponible en: https://gaceta.facmed.unam.mx/index.php/2019/09/09/utilidad-relevante-de-las-tecnicas-de-imagen-para-el-diagnostico-en-la-arteritis-de-takayasu/
- Allele Frequencies Net Database. HLA-B*52:01:01 allele frequencies. 2024. Disponible en: https://www.allelefrequencies.net/hla6002a.asp?all_name=B*52:01:01
- DynaMed. Takayasu Arteritis. EBSCO Information Services. 2024. Disponible en: https://www.dynamed.com/condition/takayasu-arteritis
- Gutiérrez J, Katan M, Elkind M. Vasculopatías inflamatorias e infecciosas. Ictus. 36 ed. 2023. p. 532-47. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9788413822747000364?scrollTo=%23hl0000404
- Merkel PA, Matteson EL, Curtis MR, Warrington KJ, Seo PS. Clinical features and diagnosis of Takayasu arteritis. UpToDate. Literature review current through: Oct 2024. This topic last updated: Jul 25, 2023. Consultado el 18 de noviembre de 2024. Disponible en: https://www.uptodate.com/contents/clinical-features-and-diagnosis-of-takayasu-arteritis
- Torere BE, Aiwuyo HO, Rash M, Gerlach G, Russell N, Dolye AR. Subclavian Steal Syndrome as the Initial Presentation of Takayasu’s Vasculitis in a Young Caucasian Female. Cureus. 2023 Apr;15(4). Disponible en: https://doi.org/10.7759/cureus.37940
- Roldán-Valadéz E, Hernández-Martı́nez P, Osorio-Peralta S, Elizalde-Acosta I, Espinoza-Cruz V, Casián-Castellanos G. Imaging diagnosis of subclavian steal syndrome secondary to Takayasu arteritis affecting a left-side subclavian artery. Arch Med Res. 2003 Sep;34(5):433-8. Disponible en: https://doi.org/10.1016/j.arcmed.2003.06.002
- Dabague J, Reyes PA. Takayasu arteritis in Mexico: a 38-year clinical perspective through literature review. Int J Cardiol. 1996 Aug;54. Disponible en: https://doi.org/10.1016/0167-5273(96)02642-3
- Peera MA, LoCurto M, Elfond M. A case of Takayasu arteritis causing subclavian steal and presenting as syncope. J Emerg Med. 2011 Feb;40(2):158-61. Disponible en: https://doi.org/10.1016/j.jemermed.2007.11.031
- Georgios T, Heliopoulos I, Vadikolias K, Birbilis T, Piperidou C. Subclavian steal syndrome secondary to Takayasu Arteritis in a young female Caucasian patient. J Neurol Sci. 2010 Sep;296(1-2):110-1. Disponible en: https://doi.org/10.1016/j.jns.2010.06.014
- George J, Agarwal A, Radhakrishnan D, Srivastava A. Subclavian steal syndrome due to Takayasu arteritis. Ann Indian Acad Neurol. 2022 Jul;25(4). Disponible en: https://doi.org/10.4103/aian.aian_25_22
- Kłakowicz P, Siedlak A, Kułakowska A, Lepczyński B, Lechowski S. Takayasu's arteritis—a summary of current, clinically relevant knowledge of the disease. J Educ Health Sport. 2023 Apr;20(1):17-23. Disponible en: https://doi.org/10.12775/JEHS.2023.20.01.002
- Virk J, Holmes D. Radiology in Mexico: country report. J Glob Radiol. 2023 Feb;9(1). Disponible en: https://doi.org/10.7191/jgr.632
- Iida M, Ishiguro Y, Ueda N, Honjo H. Inter-arm difference of systolic blood pressure measured by automated double-cuff device is associated with arterial stiffness in patients with hypertension. Blood Press Monit. 2020 Feb;25(1):26-33. Disponible en: https://doi.org/10.1097/MBP.0000000000000416
- Maz M, Chung SA, Abril A, Langford CA, Gorelik M, Guyatt G, et al. 2021 American College of Rheumatology/Vasculitis Foundation guideline for the management of giant cell arteritis and Takayasu arteritis. Arthritis Rheumatol. 2021 Aug;73(8):1349-65. Disponible en: https://doi.org/10.1002/art.41774
- Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension. 2020 Jun;75(6):1334-57. Disponible en: https://doi.org/10.1161/HYPERTENSIONAHA.120.15026
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 REMUS - Revista Estudiantil de Medicina de la Universidad de Sonora
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
