Takayasu's arteritis is an inflammatory and stenotic disease primarily affecting medium-
and large-sized arteries. It is prevalent mostly in young females in Asia, but is
being increasingly detected in Western Europe, North America, and Africa (
1.
). The disorder is strongly suspected in patients with decreased or absent peripheral
pulses, blood pressure discrepancies, and arterial bruits. Diagnosis is confirmed
by arteriography and histopathology. Laboratory tests recommended in the latest reviews
and textbooks (
1.
,
,
3.
,
4.
) are limited to an unspecifically elevated erythrocyte sedimentation rate (ESR) and
a slightly lowered haemoglobin. Abnormal liver enzymes are not included. We report
a case of elevated liver enzymes preceding the characteristic large vessel changes.To read this article in full you will need to make a payment
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References
- Takayasu arteritis.Ann Intern Med. 1994; 120: 919-929
- Takayasu's arteritis.Rheum Dis Clin North Am. 1995; 21: 1041-1058
- Takayasu's arteritis.Rheum Dis Clin North Am. 1990; 16: 411-422
- The vasculitis syndrome.in: Fauci AS Braunwald E Isselbacher KJ Harrison's Principles of Internal Medicine, 14th ed. McGraw-Hill, New York1998: 1910-1922
- Takayasu's syndrome - evidence for a liver lesion.S Afr Med J. 1980; 57: 1076-1078
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© 1999 Published by Elsevier Inc.
