摘要: IN THE case of absent or diminished pulses in the arms and neck clinician is presented with a most dramatic physical finding. Although observation itself elemental, interpretation may be difficult. Anisosphygmia, "pulsus incongruens," differens"1are terms which have been applied to pulse abnormalities this general type. "Pulseless disease" another name some these abnormalities.2Fortunately no eponyms come into particular usage connection cases, although type disease due apparently arteritis called Takayasu's Japan.2b It our purpose present cases seat disorder near origin great vessels from arch aorta. Included are various combinations stenosis obliteration branches aortic resulting causes. This clinical picture referred to,