Takayasu’s arteritis associated with Crohn’s disease treated with infliximab

Hiroyuki Ariga1, Yusuke Chino2, Takeshi Ojima1, Satoshi Suzuki1, Kenta Okada1, Junya Kashimura1
1Department of Gastroenterology, Mito Kyodo General Hospital, Mito, Japan
2Department of Rheumatology, Mito Kyodo General Hospital, Mito, Japan

Tóm tắt

A 23-year-old woman presented with fever, diarrhea, bloody stools, and arthralgia that did not improve despite previous treatments and was diagnosed with Crohn’s disease. Remission was achieved after the introduction of infliximab, nutritional therapy, and 5-aminosalicylic acid treatment. However, the patient’s blood sedimentation rate remained elevated without symptom recurrence, except for abdominal pain in the following year. Aortic wall thickening in the thoracic descending aorta was also observed on computed tomography. Accumulation in the thoracic descending aorta and abdominal aorta was confirmed using positron emission tomography–computed tomography. The patient was diagnosed with Takayasu’s arteritis. The patient’s abdominal symptoms resolved, and her blood sedimentation rate normalized after steroid administration.

Tài liệu tham khảo

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