, Volume 158, Issue 4, pp 281-283

Aortic valve regurgitation as the presenting sign of Takayasu arteritis

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Abstract

Takayasu arteritis is a rare chronic vasculitis primarily involving the aorta and its main branches. We report an adolescent girl with Takayasu arteritis who presented with an isolated aortic valve regurgitation as part of a systemic inflammatory process. This patient was initially misdiagnosed as having rheumatic heart disease and the correct diagnosis was made only 1 year later.

Conclusion Takayasu arteritis should be considered among the diagnostic possibilities in patients who present with an unexplained systemic inflammatory syndrome and a cardiac murmur.

Received: 13 May 1998 / Accepted in revised form: 25 August 1998