Case Reports in Medicine / 2012 / Article / Tab 1

Case Report

Late Onset Takayasu Arteritis and Rheumatoid Arthritis

Table 1

Modified Sharma diagnostic criteria for Takayasu arteritis [1].

Major criteriaMinor 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.

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