Rheumatology Advance Access originally published online on January 23, 2007
Rheumatology 2007 46(3):554-555; doi:10.1093/rheumatology/kel392
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© The Author 2007. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Acute coronary syndrome in Takayasu arteritis without elevation of acute phase parameters
Department of Rheumatology, University Hospital of Schleswig-Holstein, Campus Lübeck and Department for Internal Medicine, Rheumatology and Immunology, Rheumaklinik Bad Bramstedt, 1Institute of Pathology, University Hospital of Schleswig-Holstein, Campus Lübeck, 2Medical Clinic I, Clinic of the City of Wolfsburg, Teaching Hospital of the University of Göttingen and 3Clinic for Radiological Therapy and Nuclear Medicine, University Hospital of Schleswig-Holstein, Campus Lübeck, Germany.
Correspondence to: K. Ahmadi-Simab, University Hospital of Schleswig-Holstein, Campus Lübeck and Rheumaklinik Bad Bramstedt, Oskar-Alexander-Str. 26, D-24576 Bad Bramstedt, Germany. E-mail: ahmadi@rheuma-zentrum.de
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SIR, Takayasu arteritis (TA) is a primary systemic vasculitis of the aorta and its major branches. Cardiac involvement is seen in around 22% of cases and occurs usually later during the disease course. We report on a patient with coronary arteritis as the first manifestation of TA.
A female 36-yr-old patient was taken into hospital because of a primary onset of retrosternal pressure in resting position. Coronary angiography showed a long-range subtotal excentric 80% stenosis of the