Korean Circ J.  2013 Feb;43(2):135-138. 10.4070/kcj.2013.43.2.135.

Takayasu's Disease in a Patient with Ulcerative Colitis

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. ycw717@naver.com
  • 2Division of Endocrinology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
  • 3Division of Gastroenterology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.

Abstract

A 35-year-old Korean man with a 10-year history of ulcerative colitis (UC) presented with pain and swelling of the right neck. The patient was diagnosed with Takayasu's arteritis (TA) and had human leukocyte antigen (HLA) B-52, which is frequently found in patients having both UC and Takayasu's disease concurrently on HLA analysis. This case is the first report of a patient with both TA and UC in Korea, to the best of our knowledge.

Keyword

Takayasu arteritis; Colitis, ulcerative; Human leukocyte antigen-B52 antigen

MeSH Terms

Colitis, Ulcerative
Humans
Korea
Leukocytes
Neck
Takayasu Arteritis
Ulcer

Figure

  • Fig. 1 Thyroid sonogram of both carotid arteries shows severe thickening of the right (A) and left (B) carotid intima and media walls (arrows), in addition to right carotid artery ulceration at the midportion (A).

  • Fig. 2 Carotid CT angiography shows concentric wall thickening of the right (A) and left (B) common carotid artery (arrows).

  • Fig. 3 Arteriogram of carotid arteries shows narrowing of the left external carotid artery (arrow).

  • Fig. 4 Chest CT angiography shows concentric wall thickening of the innominate, left common carotid and both subclavian arteries.

  • Fig. 5 Colonoscopy shows a polyp at ascending colon (A), and erythematous, edematous mucosa with granularity, friability at the descending colon (B).


Cited by  1 articles

Coexistence of ulcerative colitis and Sjögren's syndrome in a patient with Takayasu's arteritis and Hashimoto's thyroiditis
Hyun Woo Park, Hyun Seok Lee, Sejin Hwang, Han Sol Lee, Han-Ik Bae, Ghilsuk Yoon
Intest Res. 2017;15(2):255-259.    doi: 10.5217/ir.2017.15.2.255.


Reference

1. Koide K. Takayasu arteritis in Japan. Heart Vessels Suppl. 1992. 7:48–54.
2. Arend WP, Michel BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum. 1990. 33:1129–1134.
3. Loftus EV Jr. Clinical epidemiology of inflammatory bowel disease: incidence, prevalence, and environmental influences. Gastroenterology. 2004. 126:1504–1517.
4. Balamtekin N, Gürakan F, Ozen S, Oguz B, Talim B. Ulcerative colitis associated with Takayasu's arteritis in a child. Acta Paediatr. 2009. 98:1368–1371.
5. Eichhorn J, Sima D, Thiele B, et al. Anti-endothelial cell antibodies in Takayasu arteritis. Circulation. 1996. 94:2396–2401.
6. Kim ES, Kim WH. Inflammatory bowel disease in Korea: epidemiological, genomic, clinical, and therapeutic characteristics. Gut Liver. 2010. 4:1–14.
7. Danese S, Semeraro S, Papa A, et al. Extraintestinal manifestations in inflammatory bowel disease. World J Gastroenterol. 2005. 11:7227–7236.
8. Choe JW, Yang SK, Jung HY, et al. A case of Crohn's disease associated with Takayasu's arteritis. Korean J Gastrointest Endosc. 1997. 17:860–864.
9. Sato R, Sato Y, Ishikawa H, et al. Takayasu's disease associated with ulcerative colitis. Intern Med. 1994. 33:759–763.
10. Lee SH, Jang BI, Kim TN. [Hemorrhagic colitis due to Escherichia coli O157 infection in a patient with Takayasu's arteritis]. Korean J Gastroenterol. 2008. 52:315–319.
11. Numano F, Miyata T, Nakajima T. Ulcerative colitis, Takayasu arteritis and HLA. Intern Med. 1996. 35:521–522.
12. Nishimoto N, Nakahara H, Yoshio-Hoshino N, Mima T. Successful treatment of a patient with Takayasu arteritis using a humanized anti-interleukin-6 receptor antibody. Arthritis Rheum. 2008. 58:1197–1200.
13. Morita Y, Yamamura M, Suwaki K, et al. Takayasu's arteritis associated with ulcerative colitis; genetic factors in this association. Intern Med. 1996. 35:574–578.
14. Bansal R, Aggarwal P, Handa R, Biswas A, Bandhu S, Wali JP. Ulcerative colitis associated with Takayasu arteritis. Int J Cardiol. 2003. 88:91–93.
15. Ikenaga H, Ogihara T, Iyori S, Kou S, Yoshikawa H, Okura MM. Does a common pathophysiological basis exist in the association of ulcerative colitis and Takayasu's aortitis? Report of a case. Postgrad Med J. 1989. 65:761–764.
16. Hokama A, Kinjo F, Arakaki T, et al. Pulseless hematochezia: Takayasu's arteritis associated with ulcerative colitis. Intern Med. 2003. 42:897–898.
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