Journal
FRONTIERS IN CARDIOVASCULAR MEDICINE
Volume 9, Issue -, Pages -Publisher
FRONTIERS MEDIA SA
DOI: 10.3389/fcvm.2022.805505
Keywords
Takayasu arteritis; vascular Ehlers-Danlos syndrome; neutrophil; tocilizumab; interventional radiology
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This article presents a case of Takayasu arteritis (TAK) associated with vascular Ehlers-Danlos syndrome (vEDS), resulting in multiple arterial aneurysms and stenosis leading to multi-organ infarction. The patient was successfully treated using anti-inflammatory agents, glucocorticoids, tocilizumab, and interventional radiology. The importance of considering concurrent vasculitis syndrome and non-inflammatory vasculopathy, including hereditary disorders, in cases with multiple aneurysms, stenosis, and dissections leading to multi-organ infarctions is emphasized.
Takayasu arteritis (TAK) is a rare primary systemic inflammatory vasculopathy. It is classified as a large-vessel vasculitis and is known to cause inflammatory aneurysms and vascular stenosis. Vascular Ehlers-Danlos syndrome (vEDS) is an autosomal dominant condition known to cause multiple aneurysms and arterial dissection at a young age owing to a mutation in the gene for type III collagen, COL3A1. Here, we present a case of TAK associated with vEDS with the development of multi-organ infarction of the brain, kidney, and spleen owing to multiple arterial aneurysms and stenosis of the internal carotid artery. The patient was successfully treated using anti-inflammatory agents, glucocorticoids, and tocilizumab with the addition of interventional radiology. In our case, a high inflammatory response led to vasculitis being the main cause of the disease with concurrent vEDS. When patients develop multiple aneurysms, stenosis, and dissections leading to multiple organ infarctions, a systemic differential diagnosis to consider concurrent vasculitis syndrome and non-inflammatory vasculopathy, including hereditary disorders, is important even with time constraints.
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