Unilateral carotid granulomatous arteritis and Crohn's disease

被引:6
作者
Gobron, C. [1 ]
Kaci, R. [2 ]
Sokol, H. [3 ]
Vahedi, K. [1 ]
Lejoyeux, P. [5 ]
Guillaud, C. [1 ]
Wechsler, B. [4 ,7 ]
Gray, F. [2 ,6 ]
Bousser, M. -G. [1 ,6 ]
机构
[1] Hop Lariboisiere, AP HP, Serv Neurol, F-75010 Paris, France
[2] Hop Lariboisiere, AP HP, Serv Cent Anat & Cytol Pathol, F-75010 Paris, France
[3] Hop St Antoine, AP HP, Serv Gastroenterol & Nutr, F-75012 Paris, France
[4] Hop La Pitie Salpetriere, AP HP, Serv Med Interne, F-75013 Paris, France
[5] Ctr Hosp Mans, Serv Neurol, F-72000 Le Mans, France
[6] Univ Paris 07, F-75010 Paris, France
[7] Univ Paris 06, F-75005 Paris, France
关键词
Cerebrovascular disease; Internal medicine; Crohn's disease; Granulomatous arteritis; Unilateral carotid occlusion; GIANT-CELL ARTERITIS; OF-THE-LITERATURE; TAKAYASUS-ARTERITIS; TEMPORAL ARTERITIS; ASSOCIATION; MANIFESTATIONS; INVOLVEMENT; VASCULITIS;
D O I
10.1016/j.neurol.2009.10.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Chronic idiopathic granulomatous arteritis of the large vessels and, specifically, "Takayasu's arteritis" and "giant cell arteritis" is an unusual condition that rarely leads to stroke and is only occasionally associated with Crohn's disease. We report here on a unique case of a 56-year-old man with a 25-year history of Crohn's disease who also had a 4-year history of recurrent right-sided ischaemic strokes and partial seizures, and a unilateral progressive retrograde occlusion of the right internal and common carotid arteries. Biopsies of the temporal and carotid arteries showed large-vessel granulomatous arteritis, with features of both giant cell and Takayasu's arteritis. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:542 / 546
页数:5
相关论文
共 20 条
[1]   NEUROLOGIC DISEASE IN BIOPSY-PROVEN GIANT-CELL (TEMPORAL) ARTERITIS [J].
CASELLI, RJ ;
HUNDER, GG ;
WHISNANT, JP .
NEUROLOGY, 1988, 38 (03) :352-359
[2]   Giant cell arteritis localized to the colon associated with Crohn's disease [J].
Colombat, M ;
Imbert, A ;
Bruneval, P ;
Chatelain, D ;
Gontier, MF .
HISTOPATHOLOGY, 2001, 38 (01) :21-24
[3]   T cell specificity and cross reactivity towards enterobacteria, Bacteroides, Bifidobacterium, and antigens from resident intestinal flora in humans [J].
Duchmann, R ;
May, E ;
Heike, M ;
Knolle, P ;
Neurath, M ;
zum Büschenfelde, KHM .
GUT, 1999, 44 (06) :812-818
[4]  
Gobbelé R, 2000, NERVENARZT, V71, P299, DOI 10.1007/s001150050561
[5]   Giant cell arteritis - Disease patterns of clinical presentation in a series of 240 patients [J].
Gonzalez-Gay, MA ;
Barros, S ;
Lopez-Diaz, MJ ;
Garcia-Porrua, C ;
Sanchez-Andrade, A ;
Llorca, J .
MEDICINE, 2005, 84 (05) :269-276
[6]   TAKAYASU ARTERITIS - A STUDY OF 32 NORTH-AMERICAN PATIENTS [J].
HALL, S ;
BARR, W ;
LIE, JT ;
STANSON, AW ;
KAZMIER, FJ ;
HUNDER, GG .
MEDICINE, 1985, 64 (02) :89-99
[7]   BILATERAL CAROTID-ARTERY OCCLUSION RESULTING FROM GIANT-CELL ARTERITIS [J].
HOWARD, GF ;
HO, SU ;
KIM, KS ;
WALLACH, J .
ANNALS OF NEUROLOGY, 1984, 15 (02) :204-207
[8]   TAKAYASU ARTERITIS [J].
KERR, GS ;
HALLAHAN, CW ;
GIORDANO, J ;
LEAVITT, RY ;
FAUCI, AS ;
ROTTEM, M ;
HOFFMAN, GS .
ANNALS OF INTERNAL MEDICINE, 1994, 120 (11) :919-929
[9]   LARGE ARTERY INVOLVEMENT IN GIANT-CELL (TEMPORAL) ARTERITIS [J].
KLEIN, RG ;
HUNDER, GG ;
STANSON, AW ;
SHEPS, SG .
ANNALS OF INTERNAL MEDICINE, 1975, 83 (06) :806-812
[10]  
Maksimowicz-McKinnon K, 2003, ANN MED INTERNE, V154, P75