Advance on diagnosis and treatment of children with severe Takayasu arteritis
10.3760/cma.j.issn.1673-4912.2020.05.004
- VernacularTitle:儿童危重多发性大动脉炎的诊治进展
- Author:
Zhiqiang TU
1
;
Xiaozhong LI
Author Information
1. 上海交通大学医学院附属仁济医院 200001
- From:
Chinese Pediatric Emergency Medicine
2020;27(5):336-340
- CountryChina
- Language:Chinese
-
Abstract:
Children Takayasu arteritis(c-TA)is a potentially life-threatening macrovasculitis that occurs during childhood.The early clinical manifestations are nonspecific, and the damage often leads to ischemic dysfunction of the organ.Non-invasive techniques such as magnetic resonance angiography has been included in the diagnosis and follow-up of children.At present, the conventional treatment plan is the combination of glucocorticoid and immunosuppressant.In the cases of refractory venereal diseases, biological agents should be considered as soon as possible to prevent the damage of ischemia to the terminal organs.When artery stenosis is severe, intravascular(stent or balloon)or bypass intervention is needed to reconstruct the blood vessels of the affected organs.Early diagnosis and timely and correct management are of vital importance in reducing the incidence rate and risk of injury.
