Arteritis de Takayasu: Una presentación atípica. Reporte de Caso

Takayasu’s arteritis is a granulomatous vasculitis affecting large vessels. Its etiology remains uncertain, predominating in women-men younger than 40 years, with the first epidemiological reports prevailing in Southeast Asia to the rest of the population. However, new cases with similar characteristics outside this geographic region make us think about the possible underdiagnosis of this pathology. This vasculitis commonly affects the aorta and its main branches, presenting with local pain, signs and symptoms of regional ischemia. We bring the report of a 21-year-old male patient who suddenly presented with paresthesia of the lower limbs limiting his ambulation together with extreme distal pallor and absence of pedial pulses, with report of thoracic and iliac Angiotac of decreased caliber in its trajectory and myointimal thickening. This clinical case aims to emphasize the early detection of atypical presentations that raise suspicion of this entity, contributing to the increase of its recognition, diagnosis, and casuistry.