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Scleritis as a presenting feature of Takayasu's disease
  1. RAJNI JAIN,
  2. ALEXANDER IONIDES,
  3. CARLOS PAVESIO
  1. Moorfields Eye Hospital, City Road, London EC1V 2PD
  2. Hammersmith Hospital, 150 Du Cane Road, Shepherd's Bush, London W12 0HS
  1. ANDREW RUSSELL,
  2. DORIAN HASKARD
  1. Moorfields Eye Hospital, City Road, London EC1V 2PD
  2. Hammersmith Hospital, 150 Du Cane Road, Shepherd's Bush, London W12 0HS
  1. Miss R Jain, Western Eye Hospital, Marylebone Road, London NW1 rajni{at}jain1000.freeserve.co.uk

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Editor,—Takayasu's (pulseless) disease is a chronic inflammatory arteriopathy of unknown aetiology and was first described in 1908 by an ophthalmologist, Takayasu.1Although he described some retinal features of the disease he did not discuss the absence of any arterial pulses. It occurs more commonly in young oriental women and affects the aorta and/or its major branches giving rise to end organ hypoperfusion.2 The major complications attributed to the disease include Takayasu's retinopathy, secondary hypertension, aortic regurgitation, and arterial aneurysms. The ophthalmological complications are generally late manifestations of the disease and include ischaemia of the retina, choroid, and anterior segment.3 We describe a patient with Takayasu's disease who presented with scleritis of …

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