Takayasu arteritis
Takayasu M. 第十三席 高安君 奇異ナル網膜中心血管ノ變化ノ一例 [A Peculiar Case of Changes in the Retinal Central Vessels]. Nihon Ganka Gakkai Zasshi (Acta Societatis Ophthalmologicae Japonicae). 1908; 12: 554-555.
| Japanese (Verbatim) | English Translation |
|---|---|
| 第十三席 高安君 奇異ナル網膜中心血管ノ變化ノ一例 | 13th Presentation – Mr. Takayasu: A Peculiar Case of Changes in the Retinal Central Vessels |
| 三十八年五月一婦人ニテ奇ナナル一例ヲ見タリ。 | In May of this year, I observed a remarkable case in a woman. |
| 既往症トシテ昨年九月初旬ヨリ視界濛々タリキ。 | According to her history, since early September of last year her visual field had appeared clouded and indistinct. |
| 同時ニ結膜充血アリ。醫療ヲ受ケズ。是迄ノ病氣ハナシ。 | At the same time, there was conjunctival hyperemia. She had not received medical treatment and had no prior illnesses. |
| 瞳孔反應アリ。視力少シク遲鈍ナリ。内科的變化ナシ。 | Pupillary reactions were present but slightly sluggish. No systemic abnormalities were detected. |
| 眼底ヲ檢スルニ、乳頭ヲ圍繞セル血管環アリ。花環狀ヲ呈シ、血管相互二交通吻合ヲナシ、乳頭周圍ヲ環狀ニ繞リテ存ス。 | On ophthalmoscopic examination, a vascular ring was seen encircling the optic disc. The vessels formed a garland-like arrangement, with numerous anastomoses, completely surrounding the papilla in a circular pattern. |
| 又其外方ニ於テモ同樣ノ異常ノ血管走行ヲ見ル。 | Additional vascular loops of similar abnormal character were observed beyond this, toward the periphery. |
| 其後、瞳孔散大シ、眼球少シク陷沒シ、血管變化ハ依然トシテ存ス。 | Later, the pupil dilated, the globe became slightly sunken, yet the vascular anomaly persisted unchanged. |
| ピロカルピンノルピン發汗注射、食鹽水注射、臭素加里共二試ミシモ効ナク、視力次第二減退シ、指數辨ズルニ至リ、白內障ヲ發シ、手術ヲ試ムルモ効ナク、遂ニ失明ニ至レリ。 | Various therapies were attempted, including pilocarpine, diaphoresis injections, saline injections, and potassium bromide, but without effect. Vision gradually declined until only finger counting was possible. Cataract developed; surgical treatment was attempted without success, and finally blindness ensued. |
| 本症ノ變化ハ、花環狀血管ノ繞リテ乳頭ヲ包圍セルモノニシテ、實ニ稀有ナル所見ナリ。 | The vascular change consists of garland-like vessels encircling the optic disc—a truly rare and extraordinary finding. |
Discussion points:
| Japanese | English |
|---|---|
| 阿部君: 本患者ハ、兩側ノ橈骨動脈ニ脈搏ヲ觸レズ。然レドモ前膊冷ナラズ。甚ダ奇異ナリ。 | Dr. Abe: In this patient, the radial pulses in both arms could not be palpated, though the forearms were not cold. This is extremely unusual. |
| 大西君: 予ノ教室ニ於テモ同樣ノ患者アリ。環狀吻合ヲナセル血管環及ビ其ガ動脈瘤樣ノモノヲ有スルコト、高安君ノ述ベル所ト酷似セリ。 | Dr. Ōnishi: In my department, a similar patient is under observation. Around the optic disc, there is a vascular ring with multiple anastomoses, some aneurysmal in appearance—closely resembling the condition described by Mr. Takayasu. |
Physician in training. German translator and lover of medical history.
