抄録
The pulseless disease, which has been known as the Takayasu's disease, is characterized, according to the nominator, Shimizu and Sano, for the trias:
1) Absence of the pulse at the wrist,
2) Vascular changes in the eye grounds,
3) increased carotid sinus reflexes.
The author reports a peculiar case of this disease, which showed additionally the absence of the pulse at the legs.
The patient is a wife of 26 years old, and has been suffering from this disease these 4 years old.
Her main complaints are adynamia of the extremities, diziness, palpitation, nausea, vomitting etc.
Absence of the pulse is cbserved at radialis, ulnaris, brachialis arteries at the both arms, and dorsalis pedis, poplitea arteries at the both legs.
A. carotis and femoralis are palpable.
Carotid sinus reflexes are increased and showed vagotonic type. The arteriography of a femoralis showed the obturation in it, and anastomosis-formation.
Though the vascular changes of the eye ground is impossible to examine for the corneal turbidity (Ceratitis superficialis tbc), the above findings may be adequate to determine a case of the pulseless disease.
Furthemore this patient had complications of tuberculous disease, such as Ceratitis superficialis tbc, lymphadenitis axillaris tbc, erythema nodosum and anamnesis of peritonitis chronica.
These facts must have some relation to the pathogenesis of this disease.
