Ag. Balingit et Jh. Anderson, CLINICAL-APPLICATION OF CAPTOPRIL RENAL SCINTIGRAPHY IN TAKAYASU ARTERITIS, Clinical nuclear medicine, 18(9), 1993, pp. 742-745
Takayasu's disease (pulseless disease) is an uncommon chronic inflamma
tory disease primarily affecting the medium and large arteries, with a
strong predilection for the aortic arch and its branches; hence, it s
ometimes is referred to as aortic arch syndrome. The etiology is unkno
wn, although a systemic immunologic process seems most likely. About h
alf the reported cases also revealed involvement of the pulmonary and
renal arteries. The involvement is more marked in the origin of the ve
ssel than distally. Although it is more common among Orientals, its di
stribution is worldwide, without racial boundary. A case is presented
in which captopril renal scintigraphy and digital subtraction angiogra
phy were used to show renal artery stenosis as the cause of the patien
t's hypertension.