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ÇOCUKLUK YAŞ GRUBUNDA TAKAYASU ARTERİTİ VE RENAL OTOTRANSPLANTASYON

TAKAYASU ARTERITIS AND RENAL AUTO TRANSPLANTATION IN CHILDHOOD

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Abstract (2. Language): 
Takayasu arteritis is a vasculitis of aorta and large vessels and it is rarely diagnosed in childhood in Turkey. An 11-year old girl was admitted for the manifestations of hypertensive cardiomyopathy and congestive heart failure. As plasma renin activity was found to be elevated digital substruction angiography was per-tormed and segmentary stenosis, poststenotic dilatation and anevrysms of great arteries including aorta and renal arteries were detected leading to the diagnosis of Takayasu arteritis. Besides immunosupressive and antituberculous therapy, autotransplantation was performed to one kidney of the patient with a success-full result. We present this case in order to review the clinical and laboratory findings and the management of Takayasu arteritis.
Abstract (Original Language): 
Aorta ve büyük damarları tutan bir vaskülit olan Takayasu arteriti ülkemizde çocukluk yaş grubunda nadir görülmektedir. Hipertansif kardiyomyopati ve kalp yetmezliği tablosu ile gelen 15 yaşındaki bir kız hastada plazma renin aktivitesinin yüksek bulunması üzerine yapılan "digital substraction angiography" (DSA) ile aorta ve renal arterler dahil büyük arterler¬de Takayasu arteriti ile uyumlu olarak yaygın seg-menter stenoz, poststenotik dilatasyon ve anevrizmalar gösterilmiştir. İmmünosüpresif ve antitiiberküloz tedavinin yanısı-ra hastanın bir böbreğine ototransplantasyon uygulanmış ve iyi sonuç alınmıştır. Takayasu arteritinin klinik ve laboratuvar bulgularını ve tedavi yöntemleri¬nigözden geçirmek amacıyla bu vaka sunulmuştur
FULL TEXT (PDF): 
84-87

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