All issues > Volume 11(8); 1968

Case Report

J Korean Pediatr Soc. 1968;11(8):433-436. Published online August 31, 1968.

Primary Arteritis Associated with Transient Paralysis of Lower Extremities

Kyung Tai Whang¹, Young Joon Son¹, Byong Ho Lee¹

¹Dept, of Pediatrics, Catholic Medical College

Abstract

This paper presents a eleven-year old female child whom had primary arteritis(pulseless disease) On physical examination her blood pressure was unable to measure at left arm, and also the pulsation was not palpated. At right arm and both thigh the blood pressure was 120/80 and 150/100 mm Hg respectively. The oscillometric mean blood pressure was 100 mm Hg on right arm, 150 mm. Hg on right thigh, and 150 mm Hg on left thigh. Skin temperature on left arm and right arm was each 33.4°C and 34.4°C. On auscultation of the heart continuous murmur heard at the left subclavicular area and also heard bruit sound on right carotid area. Ophthalmoscopic examination revealed that retinal vein was pulsated at right fundus and extremely engorged. On aortography the occlusions of left subclavicular artery, left carotid artery and both popliteal arteries were demonstrated. The episode of walking disturbance and. blurred vision were noted since Feb. 18, 1968. The paralysis of right lower extremity was recovered within a few days after hospitalization and the left one was remained until March 6, 1968. Three month later, the paralysis of left lower extremity was also return to normal function and she was able to walk alone.

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