Takayasu Arteritis Presenting with Optic Arteritis: An Uncommon Occurrence

Ajmal Rafi, Juhi Sheekha

Abstract: Takayasu Arteritis is a chronic granulomatous, autoimmune large vessel vasculitis typically involving elastic arteries, aorta and its branches [1]. Loss of vision as a first manifestation of Takayasu Arteritis is unusual. We here present a 15 year girl who presented with acute loss of vision and optic neuritis on fundus examination. On examination, peripheral pulses were not palpable, carotid bruit was present with optic atrophy in left eye and Roth spots in right eye. She was diagnosed to have Takayasu Arteritis and started on prednisolone and antitubercular therapy (ATT).

Keywords: Optic atrophy, Roth spots, Tuberculosis, Carotid bruit, Pulselessness