Evidence map›Paper›PMID 40993361›Full record

ArticlePediatric research2026

Age specific clinical manifestations and vascular involvements in childhood-onset Takayasu arteritis.

Yingjie Xu, Congying Wang, Wenquan Niu, Min Kang, Jia Zhu, Fan Liu, Baoping He, Weihong Chu, Lian Wang, Xue Zhao and 6 more

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Yingjie Xu *Department of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Congying Wang *Department of Cardiology, Capital Institute of Pediatrics-Peking University Teaching Hospital, Beijing, China.
Wenquan NiuEvidence-Based Medicine Center, Capital Institute of Pediatrics, Beijing, China.
Min KangDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Jia ZhuDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Fan LiuDepartment of Rheumatology, Wuhan Children's Hospital, Wuhan, China.
Baoping HeDepartment of Pediatrics, Affiliated Hospital of Mongolia Medical University, Hohhot, China.
Weihong ChuDepartment of Pediatrics, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Lian WangDepartment of Pediatrics, General Hospital of Ningxia Medical University, Yinchuan, China.
Xue ZhaoDepartment of Pediatrics, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Gaixiu SuDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Dan ZhangDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Tong YueDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Ming LiDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
Jianming LaiDepartment of Rheumatology, Children's Hospital Capital Institute of Pediatrics, Beijing, China. laijm99@sina.com.
Xiaohui LiDepartment of Cardiology, Capital Institute of Pediatrics-Peking University Teaching Hospital, Beijing, China. lxhmaggie@pumc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited studies focused on characteristics of childhood-onset Takayasu arteritis (cTAK) throughout growth and development.

methods111 cTAK patients were recruited from six tertiary hospitals across China from January 2009 to December 2021. Patients were classified into infant group (<12 months), toddler and preschool group (≥12 months, <72 months), school-age group (≥72 months, <144 months) and adolescent group (≥144 months).

resultsInfantile cTAK patients tended to had a significantly higher proportion presenting with fever (91.7%, P-trend <0.001), and had significantly higher levels of C-reactive protein (CRP), white blood cells (WBC), platelet (PLT), and lower hemoglobin (HGB) compared to the other three groups (all P < 0.0125). Adolescent patients were more likely to present with headache (33.3%), dizziness (24.2%) and fatigue (51.5%; all P-trend < 0.001). Infantile patients were more likely to have coronary artery involvement (75.0%, P trend < 0.001). Adolescent patients were more likely to have superior mesenteric artery (36.4%, P trend = 0.005), carotid artery (30.3%, P trend = 0.003), and celiac trunk artery stenosis (27.3%, P trend = 0.005).Younger patients, especially infants, had a lower proportion of glucocorticoids use (P trend = 0.001). 73.0% (81/111) of patients were in remission, with a median follow-up time of 2.00 [2.00, 5.00] years.

conclusionThe age-specific patterns identified in this study offered valuable insights for a comprehensive understanding of cTAK. IMPACT: Infantile Takayasu arteritis patients tended to present with fever, elevated inflammatory biomarkers and coronary artery involvement. Adolescent patients were more likely to present with headache, dizziness and fatigue, with superior mesenteric artery, carotid artery involvement and celiac trunk artery stenosis. Clinical manifestations and vascular involvement of childhood-onset Takayasu arteritis differ across age groups. The clinical manifestations of childhood-onset Takayasu arteritis lack specificity. The age-specific patterns identified in this study may provide clues for early diagnosis.

Indexed as

Takayasu ArteritisAdolescentAge FactorsAge of OnsetChildChild, PreschoolChinaC-Reactive ProteinFatigueFemaleFeverHeadacheHumansInfantMaleC-Reactive Protein

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.