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Case Reports in Medicine
Volume 2012 (2012), Article ID 839795, 7 pages
http://dx.doi.org/10.1155/2012/839795
Case Report

Three Presentations of Takayasu’s Arteritis in Hispanic Patients

1Department of Medicine, Olive-View UCLA Medical Center, Los Angeles, CA 91342, USA
2The David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
3Division of Nephrology, Olive-View UCLA Medical Center, Los Angeles, CA 91342, USA

Received 29 July 2012; Revised 18 October 2012; Accepted 2 November 2012

Academic Editor: Alexander Bauer

Copyright © 2012 Ramy Magdy Hanna et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Takayasu’s arteritis (TA) is a medium and large vessel vasculitis, defined as a nonspecific aortitis that usually involves the aorta and its branches Kobayashi and Numano (2002). Its etiology remains unclear, and its complications are diverse and severe, including stenosis of the thoracic and abdominal aorta, aortic valve damage and regurgitation, and stenosis of the branches of the aorta. Carotid stenosis, coronary artery aneurysms, and renal artery stenosis resulting in renovascular hypertension are also reported sequellae of TA Kobayashi and Numano (2002). The disease was first described in Japan, but has also been diagnosed in India and Mexico Johnston (2002). Its incidence in the United States has been quoted as 2.6 patients per 1,000,000 people/year Johnston (2002). In Japan, its incidence is 3.6 patients per 1,000,000 patients/year and prevalence is 7.85 patients per 100,000 per year Morita et al. (1996). The natural history of this disease, which is commonly present in Asian populations, has only recently been studied in Hispanic patients despite the notable incidence and prevalence of TA in Mexican, South American, and Indian populations (Johnston 2002, Gamarra et al. 2010 ). We present three cases of Hispanic patients who presented with TA at Olive-View-UCLA Medical Center (OVMC). We review their clinical and radiographic presentations. Finally, we review the literature to compare the clinical features of our three patients with data regarding the presentation of TA in more traditional Asian populations.