Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis

Takayasu arteritis (TAK) is a large-vessel vasculitis affecting the aorta and its main branches. Hemoptysis can be experienced as the respiratory manifestation, but origination from a bronchial artery is rare. Ulcerative colitis (UC) shares genetic similarities with TAK; HLA-B52*01 is associated wit...

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Detalles Bibliográficos
Autores principales: Imamura, Ryota, Hayashi, Keigo, Sada, Ken-Ei, Yamamura, Yuriko, Yamaguchi, Satoshi, Morishita, Michiko, Watanabe, Haruki, Matsumoto, Yoshinori, Wada, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378154/
https://www.ncbi.nlm.nih.gov/pubmed/30146600
http://dx.doi.org/10.2169/internalmedicine.1463-18
Descripción
Sumario:Takayasu arteritis (TAK) is a large-vessel vasculitis affecting the aorta and its main branches. Hemoptysis can be experienced as the respiratory manifestation, but origination from a bronchial artery is rare. Ulcerative colitis (UC) shares genetic similarities with TAK; HLA-B52*01 is associated with TAK and UC. We herein report a patient who presented with hemoptysis from the right bronchial artery and was diagnosed with TAK during the follow-up of UC. Transcatheter embolization was performed, and prednisolone and tocilizumab induced remission. Complication of TAK should be considered in the clinical course of HLA-B52-positive UC patients, and tocilizumab may be a treatment option.

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