Research Article

Coexistence of Takayasu’s Arteritis in Patients with Inflammatory Bowel Diseases

Table 2

The 1990 American College of Rheumatology classification criteria for Takayasu’s arteritis [10].

CriteriaDefinition

Age at disease yearsDevelopment of symptoms or findings related to TA at years
Claudication of extremitiesDevelopment and worsening of fatigue and discomfort in muscles of 1 or more extremity while in use, especially the upper extremities
Decreased brachial artery pulseDecreased pulsation of 1 or both brachial arteries
Blood pressure  mmHgDifference of >10 mmHg in systolic blood pressure between arms
Bruit over subclavian arteries or aortaBruit audible on auscultation over 1 or both subclavian arteries or abdominal aorta
Arteriogram abnormalityArteriographic narrowing or occlusion of the entire aorta, its primary branches, or large arteries in the proximal upper or lower extremities, not due to arteriosclerosis, fibromuscular dysplasia, or similar causes; changes usually focal or segmental

For purposes of classification, a patient shall be said to have TA if at least 3 of these 6 criteria are present. The presence of any 3 or more criteria yields a sensitivity of 90.5% and a specificity of 97.8%.