Vasculitis & polymyalgia rheumatica

Comparison of clinical features between patients with young-onset and late-onset Takayasu's arteritis

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Results of this study revealed that patients with LOTAK exhibited higher frequencies of vascular bruit, reduced brachial arterial pulse, and systolic blood pressure differences in arms, but a lower frequency of ascending aorta involvement than those with YOTAK.

Study context

Population
Patients with TAK per the 2022 ACR/EULAR classification criteria (median age 45.0 years; 89.1% female)
Participants
138 patients
Exposure
Late-onset TAK vs young-onset TAK
  • Young-onset TAK (YOTAK)n = 47reference
  • Lateonset TAK (LOTAK)n = 91
Outcome
Frequencies of items satisfied in the 2022 ACR/EULAR classification criteria for TAK
Methodological detailsmedical records review
  • Medical records review

Main finding

As reported in the abstract

Frequencies of 2022 criteria items
LOTAK vs YOTAKOdds ratio (95% CI)P value
Vascular bruit: 85.7% vs. 70.2%
2.55(1.08–6.00)
P = 0.030
Reduced pulse in upper extremities: 73.6% vs. 42.6%
3.77(1.79–7.92)
P < 0.001
Systolic BP difference in arms: 96.7% vs. 87.2%
4.29(1.02–18.02)
P = 0.033
Ascending aorta involvement: 7.7% vs 19.1%
0.35(0.12–0.99)
P = 0.046

Observational data: associations, not effects.

Original publication

Comparison of clinical features between patients with young-onset and late-onset Takayasu's arteritis. Clin Exp Rheumatol. Published 17 September 2025. doi:10.55563/clinexprheumatol/95f2aa

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