Takayasu's arteritis following Crohn's disease in a young woman: Any evidence for a common pathogenesis?

被引:18
作者
Al Farrant, Melissa [1 ]
Mason, Justin C. [2 ]
Wong, Newton A. C. S. [3 ]
Longman, Robert J. [4 ]
机构
[1] Univ Bristol, Bristol Royal Infirm, Dept Surg, Bristol BS2 8HW, Avon, England
[2] Univ London Imperial Coll Sci Technol & Med, Hammersmith Hosp, Rheumatol Unit, London W12 0NN, England
[3] Univ Bristol, Bristol Royal Infirm, Dept Histopathol, Bristol BS2 8HW, Avon, England
[4] Univ Bristol, Bristol Royal Infirm, Colorectal Unit, Bristol BS2 8HW, Avon, England
关键词
Crohn's disease; granuloma; Takayasu's arteritis;
D O I
10.3748/wjg.14.4087
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Takayasu's arteritis and Crohn's disease are chronic inflammatory diseases of uncertain aetiology. They rarely occur together, with only twenty nine cases of co-existent Takayasu's arteritis and Crohn's disease reported in the literature. In 88% of these cases, Takayasu's arteritis was diagnosed simultaneously or following a diagnosis of Crohn's disease. We present a case of a young Caucasian medical student, incidentally found to have bilateral carotid bruits on auscultation by a colleague. Magnetic resonance angiography revealed stenoses of the common carotid arteries with established collaterals, and a diagnosis of Type 1 Takayasu's arteritis was made. An 18(F)-fluorodeoxyglucose positron emission tomography scan revealed no active disease. Nine months later, she presented with a short history of abdominal pain, vomiting and abdominal distension. Barium follow-through and computer tomography revealed a terminal ileal stricture and proximal small bowel dilation. An extended right hemicoloectomy was performed and histopathology supported a diagnosis of Crohn's disease. This case report is presented with a particular focus on the temporal relationship between these two disease processes and explores whether their concurrence is more than just co-incidence. (C) 2008 The WJG Press. All rights reserved.
引用
收藏
页码:4087 / 4090
页数:4
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