Which of the following is abdominal angiitis-

Ans. is 'b' i.e., Takayasu arteritis Takavasu arteritiso Takayasu arteritis is granulomatous vasculitis of large and medium arteries.o It is characterized principally by ocular disturbance and marked weakening of pulses in the upper extremities - Pulseless disease.o It is also characterized by a strong predilection for aortic arch and its branches - Aortic arch syndrome,o It is more common in Adolescent girls and young women,o Morphological changes in vessel wall are same as in giant cell arteritis.Clinical presentationo Symptoms are mainly according to the involved vessel -Subclavian artery :o Most commonly involved vesselo Symptoms are - Arm claudication, lower BP and weaker pulse in upper limb then in lower limb, Raynaud's phemomenon.# Common carotid-Visual disturbances, stroke, TIA, syncope.# Abdominal aorta or coeliac artery or superior mesentric artery - Abdominal pain, nausea, vomiting# Renal-Hypertension, Renal failure# Aortic root-Aortic regurgitation, CHF# Vertebral-Visual disturbances# Iliac-Leg claudication# Pulmonary-Pulmonary hypertension, dysnea, chest pain.# Coronary-Angina, MI# Constitutional symptoms-As with other vasculitis malaise, fatigue, anarexia and weight loss are common.# Elevated ESR and Anemia (as with other vasculitis)