高安氏動脈炎之－病例報告

Takayasu's Arteritis: A Case Report

賴國康(Kwok-Kong Lai) ； 黃碧桃(Betau Hwang) ； 孟春昌(C. C. Laura Meng)

《Acta Paediatrica Sinica》 24卷4期 (1983/12) Pp. 316-321

摘要

本文報告一例12歲男孩，患高血壓症約半年，身體檢查，發現上肢動脈脈搏較下肢者為弱，在胸骨左上緣可聽到第三度心縮期雜音。心導管檢查及動脈血管攝影發現降主動脈及其大分枝均有狹窄現象，證實為高安(Takayasu)氏動脈炎。病人經抗高血壓藥物治療後，目前情況穩定。因此症較罕見，且為臺灣最年輕之病患，故提出報告。

並列摘要

Takayasu's arteritis is a disease of unknown etiology. Young females between the age 20 and 30 years are commonly affected, It is characterized by inflammation of the aorta and the proximal portion of its branches resulting in segmental constriction or saccular aneurysm of the arteries, Reduction of the amplitude or abscence of the peripheral pulses is the classical physical finding. A 12-year-old boy with typical clinical manifestations of Takayasu's arthritis is reported He had palpitation for 3-4 years and hypertension for 6 months Physical examination revealed that the pulses of the upper extremities were weaker than those of the lower extremities. A grade Ⅲ/Ⅵ systolic murmur was heard over the second intercostal space with transmission to the neck, Angiocardiography demonstrated irregularity of the descending aorta and narrowing of the proximal portions of right, left renal and superior mesenteric arteries.

並列關鍵字

Takayasu's arteritis ； Takayaus's disease ； pulseless disease