Patterns of symptoms and prognosis in occlusive thromboaortopathy (Takayasu's disease)

Ninety-five Japanese patients with Takayasu's disease were classified according to four patterns of severity of symptoms in the period from the onset of symptoms to diagnosis. Included were pattern A in 34 patients with a plateau course after the insidious onset of symptoms, pattern B in 18 patients with a decrescendo course after the sudden onset of severe symptoms, pattern C in 5 patients who had no severe symptoms during the years between the early and late periods of severe symptoms and pattern D in 38 patients with a crescendo course after the onset of symptoms and the following period of years of no severe symptoms. Fifteen patients died during the prospective follow-up period of 8.6 +/- 6 years (mean +/- SD) after admission, but 12 had had patterns C and D and the remaining 3 had had patterns A and B. The cardinal signs and symptoms are given in detail, particularly those at the onset. These data should aid in early diagnosis and prediction of the prognosis in Takayasu's disease.

This article has been cited by other articles:

				M. C. Park, S. W. Lee, Y. B. Park, S. K. Lee, D. Choi, and W. H. Shim Post-interventional immunosuppressive treatment and vascular restenosis in Takayasu's arteritis Rheumatology, May 1, 2006; 45(5): 600 - 605. [Abstract] [Full Text] [PDF]

				T. Miyata, O. Sato, H. Koyama, H. Shigematsu, and Y. Tada Long-Term Survival After Surgical Treatment of Patients With Takayasu's Arteritis Circulation, September 23, 2003; 108(12): 1474 - 1480. [Abstract] [Full Text] [PDF]

				W. F.C. Rigby, C.-M. Fan, and E. J. Mark Case 39-2002 - A 35-Year-Old Man with Headache, Deviation of the Tongue, and Unusual Radiographic Abnormalities N. Engl. J. Med., December 19, 2002; 347(25): 2057 - 2065. [Full Text] [PDF]

				A. R. Odabas, R. Cetinkaya, Y. Selcuk, C. Gundogdu, M. D. Onuk, I. Ozbey, and U. Coskun AA amyloidosis complicating an inflammatory abdominal aortic aneurysm Nephrol. Dial. Transplant., February 1, 2002; 17(2): 281 - 282. [Full Text] [PDF]

				R. Moriwaki, M. Noda, M. Yajima, B.K. Sharma, and F. Numano Clinical Manifestations of Takayasu Arteritis in India and Japan-- New Classification of Angiographic Findings Angiology, May 1, 1997; 48(5): 369 - 379. [Abstract] [PDF]

				Y. Sun, P.-K. Yip, J.-S. Jeng, B.-S. Hwang, and W.-H. Lin Ultrasonographic Study and Long-term Follow-up of Takayasu's Arteritis Stroke, December 1, 1996; 27(12): 2178 - 2182. [Abstract] [Full Text]

				M. Noma, M. Sugihara, and Y. Kikuchi Isolated Coronary Ostial Stenosis in Takayasu's Arteritis: Case Report and Review of the Literature Angiology, October 1, 1993; 44(10): 839 - 844. [Abstract] [PDF]