A 28-year-old woman presents with progressive fatigue, low-grade fever (38.2°C), and left arm claudication during exertion. Vital signs show BP 145/92 mmHg right arm versus 118/76 mmHg left arm, HR 88 bpm, RR 18/min. Examination reveals diminished left radial pulse and a systolic bruit over the left subclavian region. ESR is markedly elevated at 68 mm/hr. She denies recent upper respiratory infection. Which diagnosis best explains these findings?
- A)Microscopic polyangiitis
- B)Behcet disease
- C)Buerger disease
- D)Giant cell arteritis
- E)Takayasu arteritisGABARITO
Explicação
Takayasu arteritis is a granulomatous vasculitis of the aortic arch and major branches that classically affects younger women. Pulse deficits, blood pressure asymmetry, and upper extremity claudication are typical, earning the name pulseless disease. Constitut... Ver explicação completa e trilha adaptativa →