Rare Case of Takayasus Arteritis Associated with Crohns Disease
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概要
- 論文の詳細を見る
Takayasus arteritis (TA) and Crohns disease (CD) are chronic inflammatory diseases of uncertain etiology. Although co-existence of these rare diseases is estimated to occur in 1 in 10 billion individuals, a theoretically unexpected association has been reported in several patients and it is suggested that those associations may have been more than an unusual coincidence. Herein, we report a case of TA associated with clinically inactive CD. A Japanese woman was diagnosed with colonic CD at the age of 15, developed aortic valve regurgitation at 19, and then presented with general fatigue, low grade fever, and painful sensations in her left arm at 25. She was diagnosed with TA based on computed tomography scanning and magnetic resonance angiography findings, and treatments with prednisolone and cyclosporine were started. Thereafter, valve replacement and right coronary artery bypass graft surgery were performed. The possible pathophysiological mechanism responsible for concurrent existence of TA and CD may be associated with immune disorders. Early diagnosis of vascular lesions for patients with inflammatory bowel disease is highly encouraged.
著者
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Kinoshita Yoshikazu
Department Of Gastroenterology And Hepatology School Of Medicine Shimane University
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Ishihara Shunji
Department Of Gastroenterology And Hepatology School Of Medicine Shimane University
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MISHIMA Yoshiyuki
Department of Gastroenterology and Hepatology, School of Medicine, Shimane University
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Oshima Naoki
Department Of Internal Medicine Keio University School Of Medicine
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Okada Mayumi
Department Of Obstetrics And Gynecology Nagoya University Graduate School Of Medicine
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Murakawa Yohko
Department Of Neurology Hematology & Rheumatology School Of Medicine Shimane University
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Fukuba Nobuhiko
Department Of Gastroenterology Yodogawa Christian Hospital
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Oka Akihiko
Department Of Internal Medicine Ii Shimane University School Of Medicine
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Tada Yasumasa
Department Of Internal Medicine Ii Shimane University School Of Medicine
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Yuki Takafumi
Division Of Endoscopy Shimane University Hospital
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Sato Shuichi
Department Of Gastroenterology And Hepatology Shimane University School Of Medicine
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Moriyama Ichiro
Department Of Internal Medicine Ii Shimane University School Of Medicine
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Sato Mariko
Department Of Legal Medicine Kobe University Graduate School Of Medicine
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Kusunoki Ryusaku
Department Of Internal Medicine Ii Shimane University School Of Medicine
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Amano Yuji
Division Of Endoscopy Shimane University Hospital
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Murakawa Yohko
Department of Rheumatology, Shimane University Hospital, Japan
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Sato Shuichi
Department of Internal Medicine II, Shimane University School of Medicine, Japan
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Sumita Yoshiko
Department of Rheumatology, Shimane University Hospital, Japan
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Oshima Naoki
Department of Internal Medicine II, Shimane University School of Medicine, Japan
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Moriyama Ichiro
Department of Chemistry, Faculty of Science, Kumamoto University
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Moriyama Ichiro
Department of Internal Medicine II, Shimane University School of Medicine, Japan
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Yuki Takafumi
Division of Endoscopy, Shimane University Hospital, Japan
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Ishihara Shunji
Department of Internal Medicine II, Shimane University School of Medicine, Japan
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Okada Mayumi
Department of Biomolecular Recognition Chemistry, Graduate School of Pharmaceutical Sciences, Kyushu University
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Kusunoki Ryusaku
Department of Internal Medicine II, Shimane University School of Medicine, Japan
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