Pulseless Hematochezia: Takayasu's Arteritis Associated with Ulcerative Colitis

Hokama, Akira; Kinjo, Fukunori; Arakaki, Takemitsu; Matayoshi, Ryoji; Yonamine, Yoshimasa; Tomiyama, Ryosaku; Sunagawa, Takashi; Makishi, Tomoko; Kawane, Mariko; Koja, Kageharu; Saitô, Atsushi

doi:10.2169/internalmedicine.42.897

Cited by 17 publications

(12 citation statements)

References 4 publications

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“…Several vascular complications have been described associated with UC including different forms of aortitis [16], vasculitis [17], capillaritis [18] and panniculitis with vasculitis [19]. There are several reports showing a combination of Takayasu's arteritis and UC [20,21]. Activation of coagulation system could develop in some patients with aortic [22][23][24][25], retinal artery [26], splanchnic artery, portal vein [27] and pulmonary artery [28] embolism, and disseminated intravascular coagulopathy (DIC) [29].…”

Section: Discussionmentioning

confidence: 99%

Increased aortic stiffness in ulcerative colitis

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Increased aortic stiffness in ulcerative colitis

et al. 2014

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“…Like TA and UC, SAT has been thought to be associated with certain types of HLA, especially B35 (4). Hokama et al reported a case of TA associated with UC, which was positive for HLA-B35, not B52 (11). In addition, Ohsako et al reported, following the analysis of 56 six Japanese patients with SAT, that SAT is associated with HLA-B35 and B67 (5).…”

Section: Discussionmentioning

confidence: 99%

A Case of Takayasu's Arteritis Associated with Human Leukocyte Antigen A24 and B52 Following Resolution of Ulcerative Colitis and Subacute Thyroiditis

et al. 2011

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A 46-year-old female with a past history of ulcerative colitis (UC) was diagnosed with subacute thyroiditis (SAT), which improved with prednisolone (PSL) treatment (60 mg/day). The dose of PSL was gradually decreased, however upper back and neck pain and chest discomfort developed. The patient was diagnosed with Takayasu's arteritis (TA) based on wall thickening and luminal narrowing of the left common carotid artery and the left subclavian artery. The result of human leukocyte antigen typing analysis was A24 and B52 positive. These findings suggested that common genetic factors may be important for the etiology of TA, UC and SAT. This is the first report of TA that developed following UC and SAT.

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“…Hokama et al(2003) reported a case with coexistence of UC and TA, in which the patient carried co B5 and B52, although a direct genetic link was not identified.…”

Section: Discussionmentioning

confidence: 99%

Takayasu’s arteritis associated with Crohn’s disease

Liu

Fang

Ruan

et al. 2009

J. Zhejiang Univ. Sci. B

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Takayasu's arteritis (TA), also known as the "pulseless disease," is a chronic vasculitis of the aorta and aortic branches. TA with Crohn's disease is rare and has not been documented in China before. In this paper we report on a case of Takayasu's arteritis associated with concurrent Crohn's disease. A 17-year-old Chinese male developed upper limb sourness and a sensation of fatigue, and his upper limb pulses were absent. He was diagnosed with TA and underwent an axillary artery bypass with autologous great saphenous vein on the left subclavian artery. After the surgery, he regained the normal blood pressure. This patient also had years of diarrhea and developed an anal canal ulcer, and was diagnosed with inflammatory bowel disease and ulcerative colitis before. Five months after the TA surgery, he was hospitalized for severe stomachache and diarrhea and was finally diagnosed with Crohn's disease. The possible pathophysiological mechanisms responsible for concurrent existence of TA and Crohn's disease may be associated with immune disorders, especially autoimmunity.

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Pulseless Hematochezia: Takayasu's Arteritis Associated with Ulcerative Colitis

Cited by 17 publications

References 4 publications

Increased aortic stiffness in ulcerative colitis

Increased aortic stiffness in ulcerative colitis

A Case of Takayasu's Arteritis Associated with Human Leukocyte Antigen A24 and B52 Following Resolution of Ulcerative Colitis and Subacute Thyroiditis

Takayasu’s arteritis associated with Crohn’s disease

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