Tohoku J. Exp. Med., 2000, 190 (4)

Complete Occulusion of Left Renal Artery in Pediatric-Onset Takayasu's Arteritis

TAKASHI TATEYAMA, SHINOBU WAGA, KOHICHI SUZUKI, KAZUHIKO SUGIMOTO, YOSHIKI KAKIZAKI and HIROSHI TANAKA

Department of Pediatrics, Hirosaki University School of Medicine, Hirosaki 036-8562

  • A-16-year-old male adolescent with a 4-year history of protean clinical manifestations such as fever, abdominal pain, back pain, erythema nodosum and uveitis developed complete occulusion of left renal artery. Although he had been suspicious of having an autoimmune disease and treated with prednisolone, a definite diagnosis was not made. Finally, an angiography disclosed stenosis of abdominal aorta just beneath the origin of the renal arteries as well as complete occulusion of left renal artery. It has been reported that pediatric-onset Takayasu's arteritis sometimes shows protean clinical manifestations as in ours. Takayasu's arteritis should be considered as one of the underlaying disease, when a child develops protean manifestations suggesting an autoimmune disease.
    Key words--- aortitis syndrome; pediatric-onset; protean manifestations; renal artery; Takayasu's arteritis
    © 2000 Tohoku University Medical Press

    Tohoku J. Exp. Med., 2000, 190, 289-294
    Address for reprints: Hiroshi Tanaka, M.D., Department of Pediatrics, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan.
    e-mail: hirotana@cc.hirosakiu.ac.jp.

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