Kidney autotransplantation with renal arteries injury in a patient with Takayasu arteritis

I. Borodina, A. A. Popov, B. Fadin, V. V. Rzhannikov, A. N. Ageev, L. Shardina
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Abstract

Takayasu arteritis (AT) is a systemic vasculitis of large vessels. As a rule, AT develops in patients under 50 years of age and is characterized by vasculitis, often granulomatous, with a predominant lesion of the aorta and/or its main branches. The article describes a clinical case of a patient with bilateral lesions of the renal arteries caused by AT, who underwent kidney autotransplantation. The first manifestations of psoriasis in the patient occurred after psychological stress 15 years after surgery. The described clinical observation of multi-stage surgical treatment of Takayasu arteritis, which ended favorably, is presented by us in order to demonstrate the capabilities of modern medical technologies in both diagnosis and surgical treatment of multi-vessel lesions in Takayasu arteritis. The combination of AT and psoriasis is a rare pathology, the problems of diagnosis and treatment of which require further study.
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一名高安动脉炎患者的肾脏自体移植与肾动脉损伤
高安动脉炎(AT)是一种全身性大血管炎。通常,高安动脉炎多发于 50 岁以下的患者,其特点是血管炎,常为肉芽肿性,主要病变为主动脉和/或其主要分支。文章描述了一个由 AT 引起双侧肾动脉病变的临床病例,该患者接受了肾脏自体移植手术。术后 15 年,患者在心理压力下首次出现银屑病症状。我们介绍了多阶段手术治疗高安动脉炎的临床观察结果,结果良好,旨在展示现代医疗技术在诊断和手术治疗高安动脉炎多血管病变方面的能力。高安动脉炎和银屑病的结合是一种罕见的病理现象,其诊断和治疗问题需要进一步研究。
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