{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:06Z","timestamp":1756291206140,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,5,19]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Takayasu arteritis is an inflammatory disease of unknown aetiology affecting large vessels. Medium vessel involvement is also well documented; however, neuropathy as a presenting manifestation is rare. In this case report, a young woman in her 20s presented with an 8-month history of intermittent claudication in the right upper limb progressing to rest pain with allodynia in C5\u2013C8 distribution and painless right axillary mass. On examination, she had absent pulses in the right radial, brachial and subclavian artery with audible bruit in the right subclavian and abdominal aorta. CT angiogram showed features suggestive of Takayasu arteritis with a partially thrombosed aneurysm arising from the right axillary artery leading to compression of the right brachial plexus. This patient received treatment with methotrexate and oral corticosteroids. At 3 months follow-up, there was a reduction in the size of the aneurysm, resolution of compressive symptoms and normalisation of inflammatory markers.<\/jats:p>","DOI":"10.1136\/bcr-2024-260086","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T03:55:41Z","timestamp":1718855741000},"page":"e260086","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Brachial plexopathy as a complication of axillary artery aneurysm in a case of Takayasu arteritis"],"prefix":"10.1136","volume":"17","author":[{"given":"Anjum","family":"Siddiqui","sequence":"first","affiliation":[{"name":"Clinical Immunology and Rheumatology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parag","family":"Vijayvergia","sequence":"additional","affiliation":[{"name":"Clinical Immunology and Rheumatology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1124-2836","authenticated-orcid":false,"given":"Kriti","family":"Kishor","sequence":"additional","affiliation":[{"name":"Clinical Immunology and Rheumatology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puneet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Clinical Immunology and Rheumatology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"2025082703144895000_17.6.e260086.1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2010.82"},{"key":"2025082703144895000_17.6.e260086.2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s12055-019-00832-z","article-title":"Aortitis and aortic aneurysm in systemic vasculitis","volume":"35","author":"Tyagi","year":"2019","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"2025082703144895000_17.6.e260086.3","doi-asserted-by":"crossref","unstructured":"Silva CE , Vald\u00e9s DS , Almeida VR . Management of aneurysms in takayasu\u2019s arteritis. In: Inflammatory response in cardiovascular surgery. London: Springer London, 2013: 193\u2013204. Available: https:\/\/doi.org\/10.1007\/978-1-4471-4429-8_23","DOI":"10.1007\/978-1-4471-4429-8_23"},{"key":"2025082703144895000_17.6.e260086.4","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1002\/acr2.11186","article-title":"Takayasu arteritis: a systematic review and meta\u2010analysis of test accuracy and benefits and harms of common treatments","volume":"3","author":"Dua","year":"2021","journal-title":"ACR Open Rheumatology"},{"key":"2025082703144895000_17.6.e260086.5","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-221863","article-title":"Axillary artery aneurysm combined with brachial plexus palsy due to takayasu arteritis","volume":"2018","author":"Kim","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082703144895000_17.6.e260086.6","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.avsg.2021.08.012","article-title":"Multiple aneurysms of the subclavian-axillary, abdominal aortoiliac, lower extremity, and coronary arteries in a pediatric patient of takayasu arteritis","volume":"81","author":"Wang","year":"2022","journal-title":"Ann Vasc Surg"},{"key":"2025082703144895000_17.6.e260086.7","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1017\/S1047951119001914","article-title":"Transcutaneous embolisation of an axillary artery aneurysm in a child with takayasu arteritis","volume":"29","author":"Yazbeck","year":"2019","journal-title":"Cardiol Young"},{"key":"2025082703144895000_17.6.e260086.8","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2021.683216","article-title":"Case report: disappearance of coronary anastomotic aneurysm by steroid therapy in takayasu arteritis: pseudorepair of pseudoaneurysm?","volume":"8","author":"Naraoka","year":"2021","journal-title":"Front Cardiovasc Med"},{"key":"2025082703144895000_17.6.e260086.9","doi-asserted-by":"crossref","DOI":"10.1186\/s13019-021-01413-1","article-title":"Surgical treatment for brachiocephalic artery aneurysm with takayasu arteritis using isolated cerebral perfusion: a case study","volume":"16","author":"Sugiyama","year":"2021","journal-title":"J Cardiothorac Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:14:59Z","timestamp":1756289699000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":9,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,19]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bcr-2024-260086"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260086","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}