Takayasu Arteritis and Hyperthyroidism ——A secondary hypertension case report

Abstract

Abstract Background: Renovascular disease and hyperthyroidism are secondary hypertension. Takayasu's arteritis (TAK) is a chronic, progressive, non-specific great vasculitis involving the aorta and its major branches. It is one of the causes of renal artery stenosis. Hyperthyroidismis an endocrine disease caused by improper continuous synthesis and secretion of excessive thyroid hormone by the thyroid gland. Both diseases can raise blood pressure. Case presentation: we present a case of 18-year-old. Female, After exercise, fatigue palpitations. The maximum blood pressure(BP) was 190/87 mmHg, ankle-brachial index (ABI )was less than 0.9. C-reactive protein (CRP)and erythrocyte sedimentation rate (ESR)were elevated. Imaging revealed Multiple vascular stenosis. T3,T4, FT3,FT4,TPO-Ab and TR-Ab were elevated. TSH reduced. she was diagnosed with Takayasu arteritis and hyperthyroidism. After treatment, the blood pressure was normal, the thyroid function gradually returned to normal, and the symptoms improved. Conclusion: It is suggested that the blood pressure of both upper limbs should be measured in newly diagnostic hypertension, Few cases of Takayasu arteritis complicated with hyperthyroidism have been reported. Both diseases are related to the immune system, whether there is any correlation between the two diseases, further research is needed. Early diagnosis, early treatment, the earlier intervention, the better prognosis.