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Case Reports in Neurological Medicine
Volume 2016 (2016), Article ID 8736248, 4 pages
http://dx.doi.org/10.1155/2016/8736248
Case Report

Stroke as the Sole Manifestation of Takayasu Arteritis in a 15-Year-Old Boy with Latent Tuberculosis

1Department of Neurology, Nordland Hospital, Bodø, Norway
2Division of Internal Medicine, Nordland Hospital, Bodø, Norway
3Department of Radiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway
4Department of Rheumatology, Oslo University Hospital, Rikshospitalet, Oslo, Norway
5Department of Clinical Medicine, The Arctic University of Tromsø (UiT), Tromsø, Norway

Received 14 June 2016; Revised 18 October 2016; Accepted 1 November 2016

Academic Editor: Massimiliano Filosto

Copyright © 2016 Espen Benjaminsen 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

Introduction. Takayasu arteritis is a rare disease affecting the aorta and its main branches, causing arterial claudication and end-organ ischemia, including stroke. The etiology is unknown but is believed to be autoimmune. An association between Takayasu arteritis and tuberculosis has been suggested, but the possible relation is unclear. Case Presentation. A 15-year-old Somali boy was diagnosed with latent tuberculosis. He had a lesion in the right lung, and both the tuberculin skin test by the Mantoux method and Quantiferon GOLD test turned out positive. After he suffered a cerebral infarct in the right hemisphere, childhood Takayasu arteritis was diagnosed. The diagnosis was based on diagnostic imaging showing a high-grade stenosis of the origin of the right common carotid artery, an occluded common carotid artery on the left side, a circumferential thickening of the vessel walls in the right and left common carotid artery, and laboratory findings with elevated C-reactive protein. Conclusion. Takayasu arteritis is an uncommon cause of stroke. It should however be kept in mind as a cause of cerebrovascular disease, especially in the young.