What disease is it if I can’t feel my pulse? - Beware of Takayasu arteritis

Some friends accidentally discover that their pulse is weak or even completely undetectable. If this happens, they should be alert to whether they have a vascular disease - Takayasu arteritis.

Fatigue, fever, loss of appetite, sweating, weight loss…arteritis?

Takayasu arteritis is a type of vasculitis among rheumatic diseases. It is caused by inflammation of large arteries, which leads to arterial stenosis or blockage, resulting in poor blood flow and weak or absent pulse. Takayasu arteritis is chronic and gets worse over time. Since no redness, swelling, heat or pain can be found at the site of inflammation, it is different from inflammation in the general sense. Takayasu arteritis is common in Asia and the Middle East, and is more common in young women. The current cause may be related to infection. When Takayasu arteritis occurs, there may be a variety of systemic symptoms such as general discomfort, fatigue, fever, loss of appetite, sweating, weight loss, etc., but these symptoms are not unique to Takayasu arteritis.

Headache, dizziness, palpitations...is there is blood loss in the corresponding parts?

If the patient's carotid artery and vertebral artery are narrowed and occluded, it may cause varying degrees of cerebral ischemia, resulting in symptoms such as dizziness, vertigo, headache, memory loss, black spots on one or both sides of the vision, decreased vision, and even blindness. Upper limb ischemia may cause unilateral or bilateral upper limb weakness, coldness, soreness, numbness and even muscle atrophy.

If the patient develops abdominal aortic disease, symptoms such as weakness, soreness, cool skin and intermittent claudication may occur in the lower limbs. Involvement of the mesenteric artery may cause abdominal symptoms such as abdominal pain. Renal artery involvement may cause hypertension, headache, dizziness, and palpitations. In severe cases, the opening of the coronary artery may be affected, causing angina pectoris or even myocardial infarction.

Newly diagnosed patients should be treated as soon as possible. The main measures include the use of glucocorticoids and immunosuppressants to dilate blood vessels and improve microcirculation. If the lesion is more serious, surgery can be performed.

The onset is slow and the prognosis is good... Don't worry too much, dear friends

Patients with pulselessness do not need to worry. This disease usually has a slow onset. Since the affected arteries can form rich collateral circulation and replace the diseased arteries to perform functions, as long as the blood supply to important organs is not affected, most patients have a good prognosis. However, this disease can also cause death. The most common cause of death is cerebral hemorrhage, followed by surgical complications, renal failure and heart failure.