Abdominal Pain as Presentation of Takayasu's Arteritis in an Adolescent Male Patient

Farhad Zamani, MD; Ramin Shakeri, MD; Omid Modiramani, MD; Reza Malekzadeh, MD

March 16, 2006

Abstract

We describe a boy with chronic abdominal pain, nausea and vomiting, and weight loss. The imaging was compatible with Takayasu's arteritis. Chronic mesenteric ischemia was the etiology of the patient's symptoms.

References

1 2 3 4

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Cite this: Abdominal Pain as Presentation of Takayasu's Arteritis in an Adolescent Male Patient - Medscape - Mar 16, 2006.

Table 1. Lab Tests
	June 2004	August 2004	Nov 2004	After Treatment
WBC	7400/ul	8000/ul	8400/ul
Hb	9.7 g/dl	8.5 g/dl	8.5 g/dl	12.7 g/dl
MCV	71.5 fl	70 fl	70 fl	75.1 fl
MCH	22.1 pg	22 pg	22.2 pg	23.0 pg
MCHC	30%	30.9%	30.9%	30.7%
Platelet	500000/ul	450000/ul	480000/ul	366000/ul
ESR	130	140	130	19
Urinanalysis	Normal	Normal	Normal
AST	13	15	13	15
ALT	20	20	25	16
Bun	10	14	14	-
Creatinine	0.6	0.6	0.4	-
CRP	-	Positive	Positive	-
ANA	-	Negative	-
ANCA	-	Negative	-
PPD Test	-	14 mm	-

WBC = white blood cell; Hb = hemoglobin; MCV = mean corpuscular volume; MCH = mean corpuscular hemoglobin; MCHC = mean corpuscular hemoglobin concentration; ESR = erythrocyte sedimentation rate; AST = aspartate aminotransferase; ALT = alanine aminotransferase; CRP = C-reactive protein; ANA = antinuclear antibody; ANCA = antineutrophil cytoplasmic antibody; PPD = purified protein derivative

Table 1. Lab Tests
	June 2004	August 2004	Nov 2004	After Treatment
WBC	7400/ul	8000/ul	8400/ul
Hb	9.7 g/dl	8.5 g/dl	8.5 g/dl	12.7 g/dl
MCV	71.5 fl	70 fl	70 fl	75.1 fl
MCH	22.1 pg	22 pg	22.2 pg	23.0 pg
MCHC	30%	30.9%	30.9%	30.7%
Platelet	500000/ul	450000/ul	480000/ul	366000/ul
ESR	130	140	130	19
Urinanalysis	Normal	Normal	Normal
AST	13	15	13	15
ALT	20	20	25	16
Bun	10	14	14	-
Creatinine	0.6	0.6	0.4	-
CRP	-	Positive	Positive	-
ANA	-	Negative	-
ANCA	-	Negative	-
PPD Test	-	14 mm	-

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