Pearls from Dr. Elizabeth Mayer

36 y/o woman with Beta-Thal presenting with Aortitis - Presumed Takayasu's


  • Diastolic Murmurs:
    1. Grade I - Barely Audible
    2. Grade II - Audible, but soft
    3. Grade III - Easily Audible
    4. Grade IV - Loud

    Posted 10/11/16 01:50:21 PM by Adam Faye

  • Mentzer Index (Sensitivity 86%, Specificty 62% for diagnosing Beta Thal)

    Posted 10/11/16 02:10:51 PM by Adam Faye

  • Takayasu Arteritis:
    Three Phases:
    1. Systemic - constitutional- fever, malaise, night sweats, arthralgia
    2. Vasculitic - Constitutional symptoms + vascular involvement (tenderness/pain over vessels)
    3. Late/Fibrotic - Arterial Stenosis/Occulusion --> pulseless disease
    ESR and CRP can be useful markers to monitor disease activity over time

    Posted 10/11/16 02:20:44 PM by Adam Faye

  • Takayasu Arteritis typically occurs in individuals < 40 y/o
    Giant Cell Arteritis typically occurs in individuals > 50 y/o

    Posted 10/11/16 02:23:41 PM by Adam Faye

  • Dr. Mayer usually finds if Ferritin >500, less likely to be solely from Fe def. anemia but suggests an underlying inflammatory state.

    Posted 10/11/16 02:25:39 PM by Adam Faye

  • Treatment of Takayasu Arteritis:

    Posted 10/11/16 02:28:57 PM by Adam Faye

  • For further reading...

    Takayasu Arteritis Review

    Posted 10/11/16 02:21:09 PM by Adam Faye

  • 64 yo woman with 5 weeks of fevers, night sweats, and weight loss found to have perivascular infiltration, treated for giant cell arteritis


  • Major large vessel vasculitides

    Posted 05/03/17 10:03:57 AM by Anna Krigel

  • GCA should be considered in patients over 50 found to have:

    Posted 05/03/17 10:05:31 AM by Anna Krigel

  • Fever of unknown origin (FUO)

    Posted 05/03/17 10:06:52 AM by Anna Krigel

  • Created by Christopher Kelly
    Book be65e564ffbc09cd3ee32372501a5ece813f14b576dc711ff66870a4906e7f62
    Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
    The information on the website does not constitute official guidelines except where explicitly stated.
    It is not meant to replace the advice of a health professional.