Rheumatology

Question 1

Large-vessel vasculitides

Answer 1

Temporal arteritis
Takayasu’s arteritis

Question 2

Pathophysiology of Takayasu’s arteritis

Answer 2

Large vessel vasculitis
Causes occlusion of aorta
Often leads to absent limb pulse

Question 3

Features of Takayasu’s arteritis

Answer 3

More common in younger females + Asian people
Systemic features e.g. malaise, headache
Unequal BP
Carotid bruit + tenderness
Absent or weak peripheral pulses
Limb claudication on exertion
Aortic regurgitation

Question 4

Ix for Takayasu’s arteritis

Answer 4

Magnetic resonance angiography or CT angiography

Question 5

Management for Takayasu’s arteritis

Answer 5

Steroids