Takayasu arteritis presenting with renovascular hypertension in a patient with primary antiphospholipid syndrome: Case report

Abstract

In this document, we address the case of a 40-year-old woman with a history of antiphospholipid syndrome who attended the Rheumatology outpatient clinic of the Teodoro Maldonado Carbo Specialty Hospital with uncontrolled hypertension, fatigue, blood pressure difference in extremities and diminished arterial pulses in left arm. Thoracic abdominal angiotomography showed severe stenosis of the abdominal aorta at the renal level and of the proximal thirds of the renal arteries. The history of antiphospholipid syndrome caused a delay in the early diagnosis of vasculitis. Imaging studies contributed to differentiating the type of vascular compromise, confirming the diagnosis of Takayasu Arteritis. The need to consider Takayasu Arteritis in the differential diagnosis of young patients with hypertension is important to avoid increased morbidity and disability caused by this disease.