Takayasu's Arteritis in a Patient with Sydenham's Chorea: Is There an Association?

  • Thiago Cardoso Vale
  • Ricardo Oliveira Horta Maciel
  • Débora Palma Maia
  • Rogério Beato
  • Francisco Cardoso

Abstract

Background: Takayasu's arteritis (TA) has been associated with many conditions. Herein described is a case of TA in a patient with rheumatic fever complicated with Sydenham's chorea.

Case Report: A 17-year-old female presented at age 6 with rheumatic fever followed by chorea a month later. At the age of 16, she developed a blood pressure discrepancy between the arms and faint pulses. Computed tomography angiography revealed diffuse aortic involvement and narrowing of the arteries.

Discussion: The presence of rheumatic fever and Sydenham's chorea in TA raises the possibility of an immunological basis for the pathogenesis of the disease.