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- Kanako Terakawa, Akinari Sekine, Noriko Inoue, Yuki Oba, Hiroki Mizuno, Daisuke Ikuma, Kiho Tanaka, Masayuki Yamanouchi, Eiko Hasegawa, Tatsuya Suwabe, Shinji Urakami, Naoki Sawa, Yoshifumi Ubara, and Junichi Hoshino.
- Nephrology Center and Department of Rheumatology, Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
- Intern. Med. 2023 Jan 1; 62 (11): 162516291625-1629.
AbstractA 74-year-old woman was admitted because of malaise and a low-grade fever. Her C-reactive protein level was 0.96 mg/dL. Computed tomography (CT) revealed diffuse uniform thickening of the arterial wall from the abdominal aorta to the common iliac artery and right hydronephrosis. 18F-fluordesoxyglucose positron emission tomography-CT showed an accumulation in the same area. These findings suggested Takayasu arteritis and retroperitoneal fibrosis as differential diagnoses. Takayasu arteritis is characterized by thickening of the arterial walls, and retroperitoneal fibrosis is characterized by membranous lesions covering the outer surface of the arterial walls. Thus, Takayasu arteritis was deemed the most likely diagnosis. Steroid treatment was effective.
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