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[Clinical Picture] Aortic calcification in longstanding, undiagnosed Takayasu arteritis

A 40-year-old woman presented to our hospital with a 4-year history of recurrent central chest pain. The pain was unrelated to food or exertion, and occurred intermittently during both day and night. The patient had no medical history of diabetes, hypertension, hypercholesterolaemia or hypothyroidism. She did, however, give a history of having a prolonged fever for about 3 months accompanied by arthralgia at the age of 13 years. She said that at the time she had extensive investigations for infections and possible malignancies—but the fever resolved gradually without any cause being identified.