A CASE STUDY ON TAKAYASU ARTERITIS WITH DILATED CARDIOMYOPATHY: AN UNCOMMON SYSTEMIC INFLAMMATORY DISORDER OBSERVED IN TERTIARY CARE TEACHING HOSPITAL

Abstract

Takayasu arteritis is an uncommon, systemic granulomatous inflammatory large vessel vasculitis effecting the aorta and its major branches of unknown aetiology that most commonly affects women of ageless than 50. It is also known as aortic arch syndrome, pulse less disease, non-specific aortic arteritis. The disease progression can be controlled by systemic corticosteroids and Dilated Cardiomyopathy (DCM) is a disease of heart muscle in which the bottom chambers of heart (ventricles) stretches and thins and cannot pump blood normally. Here in, we present a case study of a 33 year old female patient admitted in the hospital due to weakness of right lower and upper limb (proximal and distal) and not progressive and is associated with fatigue, chest pain, dyspnea and was diagnosed as Takayasu Arteritis with Dilated Cardiomyopathy by basing on the physical examinations and clinical investigations. Treatment initiated with oral Tab. Prednisolone of dose 40 mg, Tab. Enalapril of dose 5 mg, Tab. Atorvastatin 40 mg and Tab. Clopidogrel of dose 75 mg and other drugs to achieve homeostasis. After close monitoring and management with medication for 10 days, the patient was discharged by performing discharge counselling and prescribing discharge medications.