Bóle brzucha jako rzadki objaw choroby Takayasu u 14-letniego chłopca - opis przypadku i przeglÄ d piśmiennictwa

Takayasu arteritis (TA) is a rare disease that belongs to the group of large vessel vasculitis with unknown etiopathogenesis. Immunological disorders, genetic and environmental factors are probably involved in its development. The inflammatory process affects the aorta, its main branches, pulmonary arteries and results in segmental stenosis, occlusion, dilatation and aneurysm formation in the arterial wall. In the acute, early phase of TA non-specific general symptoms associated with the inflammatory process dominate. In the second phase hypertension or symptoms of tissues and organs ischemia may occur in the result of segmental stenosis of vessels. The most frequent symptoms in children are: hypertension, headaches, fever and weight loss. We present the case of 14-year-old boy with microcytic anaemia and highly elevated values of inflammatory parameters, who presented abdominal pain which is not a typical symptom of TA. Wide differential diagnosis allowed us to recognise TA.