Abstract:
:The case of a 19 year old patient with Takayasu arteritis with exclusive involvement of the abdominal aorta and without involvement of the renal arteries who presented severe arterial hypertension during the acute phase of the disease is referred. The administration of a dose of 20 mg of enalapril maleate was followed in less than 24 hours by lameness of the lower limbs and acute oligoanuric renal failure, both of which were reversible after discontinuation of the drug. During the inflammatory phase of the disease, treatment with high doses of prednisone was effective in the control of the general symptoms and the biologic parameters of inflammation. Surgical revascularization was successfully carried out 5 months after diagnosis. Two years later the patient continues to be normotense and asymptomatic.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Górriz JL,Sánchez P,Moll JL,Prieto M,Orero E,Cruz JMsubject
Has Abstractpub_date
1994-01-22 00:00:00pages
60-3issue
2eissn
0025-7753issn
1578-8989journal_volume
102pub_type
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