A Rhanim1, K Marc2. 1. Service de pneumologie, hôpital Moulay-Youssef, CHU Ibn Sina, faculté de médecine, université Med V, Rabat, Maroc. 2. Service de pneumologie, hôpital Moulay-Youssef, CHU Ibn Sina, faculté de médecine, université Med V, Rabat, Maroc. Electronic address: kar_marc@yahoo.fr.
Abstract
INTRODUCTION: Vascular lesion of sarcoidosis is rare, it may precede, follow or occur with the symptoms of a Takayasu's disease. Many pathogenic mechanisms (infectious, genetic and immunological) participate in associating those two diseases. OBSERVATION: We describe the case of a 24-year-old female patient, hospitalized for a check up for mediastinal and cervical adenopathies, nasal obstruction with intermittent claudication in the upper limbs evolving over eight months the clinic examination shows an abolition of radial pulses. The final diagnosis was sarcoidosis with mediastinal and peripheral lymphadenopathy and a nasal lesion associated to a Takayasu arteritis (4 ACR criteria for Takayasu disease). We noticed a good clinical and radiological evolution after one year of oral corticotherapy. CONCLUSION: The association between sarcoidosis and Takayasu's disease remains rare, thus a differential diagnosis.
INTRODUCTION:Vascular lesion of sarcoidosis is rare, it may precede, follow or occur with the symptoms of a Takayasu's disease. Many pathogenic mechanisms (infectious, genetic and immunological) participate in associating those two diseases. OBSERVATION: We describe the case of a 24-year-old female patient, hospitalized for a check up for mediastinal and cervical adenopathies, nasal obstruction with intermittent claudication in the upper limbs evolving over eight months the clinic examination shows an abolition of radial pulses. The final diagnosis was sarcoidosis with mediastinal and peripheral lymphadenopathy and a nasal lesion associated to a Takayasu arteritis (4 ACR criteria for Takayasu disease). We noticed a good clinical and radiological evolution after one year of oral corticotherapy. CONCLUSION: The association between sarcoidosis and Takayasu's disease remains rare, thus a differential diagnosis.
Authors: Biplab K Saha; Stacey L Burns; Llewellyn A Foulke; Marc A Judson Journal: Sarcoidosis Vasc Diffuse Lung Dis Date: 2019-05-01 Impact factor: 0.670