Takayasu arteritis in a young female

Takayasu arteritis is a granulomatous vasculitis mainly involves large arterial vessels. The disease is rare and it is more common in females aged between 15-30 years old. In this paper, we report a case of takayasu arteritis in Babol, north of Iran. Case: A 22 - year old female was admitted to the department of infectious diseases of Rohani Teaching Hospital due to anemia, high erythrocyte sedimentation rate (ESR), and low grade fever and weight loss in early summer of 2011. Her problems started four years ago and was hospitalized in another hospital and after full investigation, there was no diagnosis. Physical exam showed vascular problem, then MRI angiography was done and showed involvement of right carotid, abdominal aorta and right iliac arteries and the diagnosis of Takayasu Arteritis was confirmed. Prednisolone was administered and fever subsided and ESR and CRP and hemoglobin were normalized. Takayasu a. should be considered in the differential diagnosis of patient with protracted low grade fever, anemia and dramatically elevated ESR in young female in order to prevent late complications of the disease.