Takayasu’s Arteritis Presenting with Subarachnoid Hemorrhage Associated with Intracranial Aneurysm and Necrotizing Lesion on the Dorsal Surface of the Foot
Takayasu’s arteritis (TA) is an inflammatory vasculitis typically involving the aorta and great branches, the pulmonary artery, and the coronary arteries. The vascular inflammation can cause arterial stenosis, occlusion, thrombosis, and aneurysms. Early recognition of the disease is key to reducing morbidity and mortality. Presently described is the case of a 59-year-old female patient who presented complaining of headache, nausea, vomiting, and uneasiness. Imaging studies revealed a subarachnoid hemorrhage caused by an intracranial aneurysm. The patient underwent embolization therapy, but 1 month after being discharged from the hospital, she was re-admitted due to a necrotizing lesion on the dorsal surface of the foot. The results of magnetic resonance angiography imaging were consistent with TA. TA can be recognized with a careful and structured clinical examination.
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