A 23-year-old woman with fever, myalgia and anorexia presents with hypertension and a cool, ischemic left arm. Angiography shows multiple stenoses of the subclavian and renal arteries. The following is/are true:
belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:13| Question number:99
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d. Preferred management consists of corticosteroids
The presentation is most suggestive of Takayasu arteritis which tends not to involve the coronary arteries. A variety of operations have been used in these patients but endarterectomy is not recommended because of a high incidence of early failure. The preferred management is corticosterioids.
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