Takayasu Arteritis Presentong With Pulmonary Necrosis: A Case Report

A 39-year-old female patient presented with a 5-month history of chest pain and backache, exertional dyspnea, fatigue, marked pain, and loss of strength in the left arm.There were no autoimmune rheumatic diseases in her medical and family history.On admission, her temperature was 38.3 °C, her pulse was regular at 110 beats/min, and her respiratory rate was 16 breaths/min.Coarse rales were heard in her right middle lung zone on auscultation.There was no murmur or gallops on cardiac examination.The patient was cachectic and had reduced skin turgor, murmur was heard on abdominal auscultation.The arterial blood pressure was 120/80 mmHg in the right arm and 100/70 mmHg in the left arm.There was considerable increased acute phase response in laboratory tests; [erythrocyte sedimentation rate (ESR)]: 108 mm/hr (normal range: 0-15 mm/ hr); [C-reactive protein (CRP)] 98 mg/L (normal range: 0-3 mg/ Takayasu arteritis (TA) is a large vessel vasculitis seen especially in young women who may present with findings such as fever, fatigue, and weight loss.In this disease, lung consolidation or infarction secondary to lung involvement may occur.TA can mimic the other parenchyma-like diseases that we see more frequently in our daily practice because constitutional findings are at the forefront and due to consolidation as a result of lung infarction.Complications associated with chronic processes may result in increased morbidity and mortality in this disease, which often presents with delays in diagnosis.For this reason, TA should be kept in mind in the differential diagnosis of diseases leading to consolidation in the lung.