Late presentation of Takayasu arteritis in geriatric patients

  • Botros Shenoda
  • Daniel C. Sacher
  • Elena AdamovEmail author
Case Report


Vasculitides are a heterogeneous group of potentially life-threatening diseases characterized by inflammation of blood vessels. The clinical features are dependent on the size and distribution of the vessels involved [1]. Takayasu arteritis (TA) is a granulomatous panarteritis of the aorta and its major branches, typically affecting young women during their reproductive years. TA can be divided into acute inflammatory and chronic healing phases and is classified according to the site of involvement: type I, only supra-aortic arteries; type IIa, only ascending aorta or aortic arch; type IIb, descending aorta with or without the more proximal portions of the aorta and aortic arch branches; type III, aortic arch and its branches with simultaneous involvement of the descending thoracic and abdominal portion or renal arteries; type IV, only abdominal aorta or renal arteries; and type V, generalized involvement as a combination of the other types [2]. Women are affected in...


Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to declare.

Ethical approval

This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the individual participants included in the study.


  1. 1.
    Monach PA (2014) Biomarkers in vasculitis. Curr Opin Rheumatol 26:24–30CrossRefGoogle Scholar
  2. 2.
    Spira D, Kotter I, Ernemann U et al (2010) Imaging of primary and secondary inflammatory diseases involving large and medium-sized vessels and their potential mimics: a multitechnique approach. Am J Roentgenol 194:848–856CrossRefGoogle Scholar
  3. 3.
    Hunder GG (1997) Giant cell arteritis in polymyalgia rheumatica. Am J Med 102:514–516CrossRefGoogle Scholar
  4. 4.
    Langford CA (2007) Vasculitis in the geriatric population. Rheum Dis Clin N Am 33:177–195CrossRefGoogle Scholar
  5. 5.
    Pipitone N, Versari A, Salvarani C (2008) Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update. Rheumatology (Oxford) 47:403–408CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Botros Shenoda
    • 1
  • Daniel C. Sacher
    • 1
  • Elena Adamov
    • 1
    • 2
    Email author
  1. 1.Department of Internal MedicineDrexel University College of MedicinePhiladelphiaUSA
  2. 2.Abington Jefferson HospitalAbingtonUSA

Personalised recommendations