Pulseless hematochezia: Takayasu's arteritis associated with ulcerative colitis

Akira Hokama; Fukunori Kinjo; Tamiki Arakaki; Ryoji Matayoshi; Yoshimasa Yonamine; Ryosaku Tomiyama; Takashi Sunagawa; Tomoko Makishi; Mariko Kawane; Kageharu Koja; Atsushi Saito

doi:10.2169/internalmedicine.42.897

Pulseless hematochezia: Takayasu's arteritis associated with ulcerative colitis

Intern Med. 2003 Sep;42(9):897-8. doi: 10.2169/internalmedicine.42.897.

Authors

Akira Hokama¹, Fukunori Kinjo, Tamiki Arakaki, Ryoji Matayoshi, Yoshimasa Yonamine, Ryosaku Tomiyama, Takashi Sunagawa, Tomoko Makishi, Mariko Kawane, Kageharu Koja, Atsushi Saito

Affiliation

¹ First Department of Internal Medicine, University of the Ryukyus, Uehara, Nishihara, Okinawa.

PMID: 14518685
DOI: 10.2169/internalmedicine.42.897

Abstract

A 36-year-old woman with ulcerative colitis presented with fever, chest and back pain, and fatigue sensation of the arm. Her upper limb pulses were absent. Angiography showed multiple aneurysms of the aorta and its branches, consistent with Takayasu's arteritis. She showed HLA-B35 but no B52, which is the typical haplotype among the coexistence cases of both diseases. Prednisolone was effective. The possible pathogenic association of the disorders is discussed.

Publication types

Case Reports

MeSH terms

Adult
Anti-Inflammatory Agents / therapeutic use
Antihypertensive Agents / therapeutic use
Aortic Aneurysm / diagnostic imaging
Aortic Aneurysm / drug therapy
Aortic Aneurysm / etiology
Aortic Aneurysm / immunology*
Aortic Rupture / etiology
Aortic Rupture / immunology*
Aortography
Colitis, Ulcerative / complications
Colitis, Ulcerative / drug therapy
Colitis, Ulcerative / immunology*
Fatal Outcome
Female
Gastrointestinal Hemorrhage
HLA-B35 Antigen / immunology
Humans
Prednisolone / therapeutic use
Pulse
Takayasu Arteritis / complications
Takayasu Arteritis / drug therapy
Takayasu Arteritis / immunology*

Substances

Anti-Inflammatory Agents
Antihypertensive Agents
HLA-B35 Antigen
Prednisolone