The authors describe 2 patients with Takayasu's arteritis in whom lupu
s anticoagulant was positive and the titer of anticardiolipin antibody
was elevated, One patient developed diffusely stenotic and occlusive
changes in the multiple larger arteries, Histology of the small-sized
arteries in another patient showed occlusive vasculitis without thromb
osis, in addition to the findings in large-sized arteries compatible w
ith Takayasu's disease. These findings are uncommon in Takayasu's arte
ritis, These findings suggest that antiphospholipid antibodies may hav
e contributed to the pathogenesis of the extensive vasculopathy and ma
y have triggered vasculitis in these patients.