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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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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:
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
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author Imamura, Ryota
Hayashi, Keigo
Sada, Ken-Ei
Yamamura, Yuriko
Yamaguchi, Satoshi
Morishita, Michiko
Watanabe, Haruki
Matsumoto, Yoshinori
Wada, Jun
author_facet Imamura, Ryota
Hayashi, Keigo
Sada, Ken-Ei
Yamamura, Yuriko
Yamaguchi, Satoshi
Morishita, Michiko
Watanabe, Haruki
Matsumoto, Yoshinori
Wada, Jun
author_sort Imamura, Ryota
collection PubMed
description 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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spelling pubmed-63781542019-02-21 Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis Imamura, Ryota Hayashi, Keigo Sada, Ken-Ei Yamamura, Yuriko Yamaguchi, Satoshi Morishita, Michiko Watanabe, Haruki Matsumoto, Yoshinori Wada, Jun Intern Med Case Report 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. The Japanese Society of Internal Medicine 2018-08-24 2019-01-15 /pmc/articles/PMC6378154/ /pubmed/30146600 http://dx.doi.org/10.2169/internalmedicine.1463-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Imamura, Ryota
Hayashi, Keigo
Sada, Ken-Ei
Yamamura, Yuriko
Yamaguchi, Satoshi
Morishita, Michiko
Watanabe, Haruki
Matsumoto, Yoshinori
Wada, Jun
Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis
title Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis
title_full Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis
title_fullStr Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis
title_full_unstemmed Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis
title_short Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis
title_sort hemoptysis originating from the bronchial artery in takayasu arteritis with ulcerative colitis
topic Case Report
url 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
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