Affiliation:
1. Department of Vascular and Endovascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research Institute, Bengaluru, Karnataka, India
Abstract
Abstract
Vasculitis is a systemic disorder characterized by inflammation of the blood vessels. Very rarely, it can manifest as critical limb ischemia. In this report, we present a case of a 10-year-old male child who presented with a nonhealing ulcer on his right lower limb for 2 years. After evaluation, he was diagnosed with large-vessel vasculitis and started on steroid therapy. However, the disease progressed despite immunosuppression. An angiogram revealed stenosis in the right external iliac, femoral, and popliteal arteries. Successful balloon angioplasty was performed to treat the stenosis, resulting in a significant improvement in the ankle-brachial pressure index. The patient was continued on steroids and antiplatelets, and subsequent follow-up showed both clinical and symptomatic improvement.