DR. SNIGDHA MISHRA

DR. S. BALA MURUGAN

Abstract

Aim: To present a challenging case of Sclerokeratitis that presented as Takayasu Arteritis

Description: A 44 years old lady presented as recurrent sclerokeratouveitis. On evaluation, her Mantoux Test was 18 mm and ESR was elevated. Other baseline tests were normal. Even after treatment with anti-tubercular drugs and topical steroids, she presented with recurrent sclerokeratouveitis. The baseline tests were repeated and chest imaging with HRCT thorax revealed extensive aortic calcification. Magnetic Resonance Angiogram confirmed Marconi’s sign and 40% stenosis of subclavian artery. The patient was diagnosed as Takayasu Arteritis and immunosuppressives were started along with oral steroids. This resulted in remarkable improvement of the inflammatory indices.

Conclusion: Revisiting the diagnosis promptly in non-responding cases of sclerokeratitis and appropriate rheumatologist consultation can help reach the correct diagnosis of Takayasu Arteritis.