Dr.SIVADARSHAN MURALIDHARAN, M20068
Takayasu disease is a rare but potentially life-threatening chronic giant cell vasculitis. Ophthalmic features result from ocular hypotension secondary to occlusion of the large and medium-sized arteries. We report a 25-year-old girl who presented with gradually progressive vision loss and pain in the right eye of 1 month duration. She had been treated with immunosuppressives for similar complaints over the past 4 years. The clinical examination and B‐scan echography were suggestive of bilateral posterior scleritis. Physical examination revealed feeble upper limb pulses and normal pulses in the lower limbs. Computed tomography imaging of chest and upper abdomen and subsequent CT angiogram were suggestive of Takayasu’s arteritis. Systemic markers for inflammation were elevated and other serological markers were negative. Our case highlights the rare presentation of the deadly disease as bilateral posterior scleritis thus emphasizing the importance of high index of clinical suspicion.
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