Rheumatologists are usually the specialists with the knowledge about Takayasu arteritis.
Other than that patients need consultation of a cardiologist, a vascular surgeon, a imaging/interventional radiologist and an obstetrician-gynecologist for pregnant patients.4 Patients with Takayasu arteritis requiring immunosuppressive drugs. Takayasu arteritis needs treatment to prevent further narrowing of affected arteries, controlling the inflammatory process and controlling hypertension. However, the narrowing that has already occurred often does not improve, even with drug treatment.6
Glucocorticoids (prednisone, prednisolone or others), often referred to as corticosteroids are usually the first line of treatment. …show more content…
Only a proportion of these patients respond to treatment and few patients make a complete recovery.13
12. Conclusion
At first, Takayasu arteritis was reported as an eye disease and soon after it was confirmed as a vasculitis.
Takayasu arteritis is an idiopathic chronic inflammatory disease which affects the aorta and its main branches. It spreads world-wide but rare, and most of the cases are seen in Asian countries, more commonly among women. This usually presenting with non-specific symptoms of malaise, fever, fatigue or visual problems.
American College of Rheumatology Classification Criteria is used in diagnosing Takayasu arteritis. There are no specific laboratory tests to diagnose. However, angiography is the investigation of choice when suspecting an individual suffering from Takayasu arteritis. Glucocorticoids (steroids) are the mainstay of treatment for Takayasu arteritis, but for addressing the refractory cases additional therapy becomes necessary. Surgical treatment is limited to irreversible stenotic lesions as Takayasu arteritis mainly involves centrally placed large