TAKAYASU ARTERITIS PRESENTING WITH INTRACEREBRAL NON ANEURYSMAL BLEED IN YOUNG INDIAN WOMAN POSITIVE FOR HEPATITIS B.A CASE REPORT

Takayasu arteritis also known as pulseless disease is a chronic inflammatory vasculitis involving large vessels of aorta and its braches and is rarely associated with stroke of non aneurismal origin. Leucocytoclastic vasculitis and polyarteritisnodosa are common autoimmune extrahepatic associations seen with hepatits B virus. Rarely takayasu disease has been associated with hepatitis B virus infection. Here we present a young girl with hepatitis B positive acute viral hepatitis presenting with a non-aneurysmal intracerebral bleed. She was diagnosed with takayasu arteritis on clinical and radiographical basis.The occurrence of both disease in the same patient is quite a rare occurence.An association of hepatitis B induced autoimmune aorto-arteritis can be hypothesized for the same.