I have a 16 yr old daughter with auto-immune thyroid disease and a rare form of arteritis called "Takayasu Arteritis" (also believed to be auto-immune related). TA has been an extremely hard disease to manage. Her MRI's of the Aorta and its branches shows that she has Left-subclavian occlusion at 100% with collateral vessels that have resupplied blood to her left arm. She also has partially blocked right subclavian artery with bruits mostly over right side neck. Left side bruits is no longer heard. She does have reduced pulse mostly on left but some on right. Currently new symptoms have included dizziness, headaches, some eye pain occasionally. Most recently she saw a vascular surgeon to see if her newest symptoms could be explained by MRI of the subclavian arteries and vessels that supply the brain. This doctor also did an echocardiogram to see for himself an aortic valve leak that was previously seen by another doctor. The Echo now shows two additional valve leaks. Doctor said she has Tricuspid regurgitation, Pulmonic Regurgitation, and the Aortic Regurgitation. He said all seem small. The doctor did not see reason for her most recent symptoms. We have an appointment set for mid-June with a neurologist who she has never seen before, but I was wondering if these 3 valve leaks together could be causing Pulmonary Hyertension and if that could explain her symptoms. Or do you know of any other possibilities? The problem with this disease is that it really requires a team of doctors to manage it, but its so rare that there are few groups like that in the country and the ones I found are on the other side of the country. My daughter presently is on: Steroids, Methotrexate injections, azathiroprine, Humira injections, Levothyroxine, & numerous multi-vitamins, calcium, etc. Her Sed-rate was going up for about 2 months but the most recent test shows it is down to 15 from 33. Her CRP was also up but is now down to 4.1. Her WBC is also high at 12.1 everything else is normal, including her liver and kidney panels. Perhaps she needs a new MRI to access her aorta and pulmonary inflammation or scar-tissue? Her last one was Oct 2009.