Late Onset Takayasu Arteritis and Rheumatoid Arthritis

Table 1

Modified Sharma diagnostic criteria for Takayasu arteritis [1].

Major criteria

Minor criteria

(1) Left midsubclavian artery stenosis or occlusion; (2) Right midsubclavian artery stenosis or occlusion; (3) Signs and symptoms (>1 month duration); (i) Limb claudication; (ii) Absent pulses or >10 mmHg blood pressure differential in arms; (iii) Exercise ischaemia; (iv) Neck pain; (v) Fever; (vi) Amaurosis fugax; (vii) Syncope; (viii) Dyspnoea; (ix) Palpitations; (x) Blurred vision

(1) ESR > 20 mm/hr; (2) Carotid bruit; (3) Hypertension >140/90 mmHg; (4) Aortic regurgitation; (5) Pulmonary artery stenosis or aneurysm; (6) Left midcommon carotid artery stenosis or occlusion; (7) Distal third innominate artery stenosis or occlusion; (8) Descending thoracic aortic stenosis, occlusion, or irregularity; (9) Abdominal aortic narrowing, aneurysm, or irregularity; (10) Angiographic evidence of coronary artery disease in a patient <30 years old without atherosclerotic risk factors

Two major, or one major and two minor, or four minor criteria indicate a high probability of Takayasu arteritis. ESR: erythrocyte sedimentation rate.