Pakistan Journal of Medical Sciences

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CASE REPORT

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Volume 25

October - December 2009 (Part-II)

Number  6


 

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Takayasu’s arteritis in association with
tuberculosis in a young woman

H. A. M. Nazmul Ahasan1, Billal Alam2, Monzurul Hasan Chowdhury3,
Fazle Rabbi Mohammed4, Zannatun Nur5

ABSTRACT

A possible relationship between Takayasu’s arteritis (TA) and Tuberculosis (TB) has been proposed. Both diseases present similar chronic inflammatory lesions and occasionally granulomas on the arterial walls. We report a case of simultaneous presence of Takayasu’s arteritis and tuberculosis in a 20 year old lady. She presented with fever, pain and intermittent claudication of all four limbs and easy fatigability for two months. We found an enlarged lymph node in left axillary region. All the peripheral pulses were absent and measurement of blood pressure was not possible. Her ESR was 62 mm in 1st hour and C reactive protein was 12mg/L. Duplex vascular USG revealed significant narrowing of both subclavian arteries and descending abdominal aorta. Histopathology of left axillary lymph node showed caseating tubercles suggestive of granulamatous tuberculous lymphadenitis.

KEY WORDS: Takayasu’s arteritis, Tuberculosis, Tuberculous lymphadenitis.

Pak J Med Sci    October - December 2009 (Part-II)    Vol. 25 No. 6    1009-1011

How to cite this article:

Nazmul-Ahasan HAM, Alam B, Chowdhury MH, Mohammed FR, Nur Z. Takayasu’s arteritis in association with tuberculosis in a young woman. Pak J Med Sci 2009;25(6):1009-1011.


1. Dr. H. A. M. Nazmul Ahasan, FCPS, FRCP
Professor of Medicine,
Dhaka Medical College,
Dhaka, Bangladesh.
2. Dr. Md. Billal Alam, MBBS, FCPS, MD, MACP, FACP
Associate Professor of Medicine,
Dhaka Medical College,
Dhaka, Bangladesh.
3. Dr. Monzurul Hasan Chowdhury, MBBS
4. Dr. Fazle Rabbi Mohammed, MBBS
5. Dr. Zannatun Nur, MBBS
3-5: Post Graduate Trainee,
Department of Medicine,
Dhaka Medical College,
Dhaka, Bangladesh.

Correspondence:

Dr. HAM Nazmul Ahasan,
Flat-3/B, House No. 47,
Road No. 5, Dhanmondi,
Dhaka, Bangladesh.
E-mail: editorjom@yahoo.com


* Received for Publication: March 17, 2009

* Accepted: September 16, 2009



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