• Adnan Shabbir Department of Medicine and Gastroenterology, Lahore General Hospital.
  • Adil Mohyudin Sheikh Zayed Medical College.
  • Khushbakht Javeria Rao Department of Radiology , Lahore General Hospital.
  • Ghias Un Nabi Tayyab Department of Medicine and Gastroenterology, Lahore General Hospital.
  • Abu Fahad Abbasi Saint James School of Medicine, Anguilla, BWI.


Takayasu arteritis is a rare disease of medium size and large vessels causing granulomatous inflammation of the involved territory. The most usual area involved is the arch of the aorta and its major branches. We came across an atypical presentation of this rare disease in our medicine department at Lahore General Hospital. A 52-year-old male presented with complaints of vertigo, bilateral upper limb cramps on physical activity. On examination, pulses were absent bilaterally in upper limbs. On CT angiography brachiocephalic and left subclavian arteries were not visualized. Inflammatory markers were not raised to the extent indicating a very aggressive disease. The patient was not meeting the age limit as described by Ishikawa diagnostic criteria. The patient was referred to the cardiovascular surgery department for revascularization.Keywords: Takayasu arteritis; Ishikawa criteria; Aortic arch syndrome

Author Biographies

Adnan Shabbir, Department of Medicine and Gastroenterology, Lahore General Hospital.

Postgraduate Resident , Department of Medicine and Gastroenterology.

Adil Mohyudin, Sheikh Zayed Medical College.

Graduate of Sheikh Zayed Medical College. 

Khushbakht Javeria Rao, Department of Radiology , Lahore General Hospital.

Medical Officer, Department of Radiology.

Ghias Un Nabi Tayyab, Department of Medicine and Gastroenterology, Lahore General Hospital.

Professor of Medicine and Gastroenterology, Lahore General Hospital

Abu Fahad Abbasi, Saint James School of Medicine, Anguilla, BWI.



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