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October 1978

Takayasu's Arteritis Associated With Glomerulonephritis: A Case Report

Author Affiliations

From the Divisions of Pediatric Nephrology (Drs Zilleruelo and Strauss) and Pediatric Cardiology (Drs Ferrer and Garcia), and Departments of Pediatrics and Pathology (Dr Pardo), University of Miami School of Medicine. Dr Moore is a pediatrician in private practice in Fort Myers, Fla.

Am J Dis Child. 1978;132(10):1009-1013. doi:10.1001/archpedi.1978.02120350073015

• Takayasu's disease is a nonspecific arteritis of unknown cause with predilection for the aortic arch and its branches; approximately 20% of those affected are children or adolescents, predominantly females.

The purpose of this article is to report the case of a young girl in which the mode of presentation was microscopic hematuria and proteinuria. Subsequently, aortic valvular insufficiency developed and there was evidence of aortitis in the thoracic and abdominal aorta, as well as in the arch. All functional and anatomical cardiac derangements were documented by ultrasound and angiocardiography. Renal biopsies showed progressive glomerular involvement characterized by focal and segmental glomerulonephritis. It is postulated that a common immunologic mechanism was responsible for the aortic and glomerular lesions.

(Am J Dis Child 132:1009-1013, 1978)

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