Hemoptysis Originating from the Bronchial Artery in Takayasu Arteritis with Ulcerative Colitis.
Anti-Inflammatory Agents
/ therapeutic use
Antibodies, Monoclonal, Humanized
/ therapeutic use
Bronchial Arteries
Colitis, Ulcerative
/ complications
Embolization, Therapeutic
HLA-B52 Antigen
/ genetics
Hemoptysis
/ etiology
Humans
Male
Prednisolone
/ therapeutic use
Remission Induction
Takayasu Arteritis
/ complications
Young Adult
Takayasu arteritis
bronchial arteries
hemoptysis
tocilizumab
ulcerative colitis
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Jan 2019
15 Jan 2019
Historique:
pubmed:
28
8
2018
medline:
1
3
2019
entrez:
28
8
2018
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 30146600
doi: 10.2169/internalmedicine.1463-18
pmc: PMC6378154
doi:
Substances chimiques
Anti-Inflammatory Agents
0
Antibodies, Monoclonal, Humanized
0
HLA-B52 Antigen
0
Prednisolone
9PHQ9Y1OLM
tocilizumab
I031V2H011
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
293-295Références
Clin Radiol. 1992 Jun;45(6):415-7
pubmed: 1351435
Nihon Rinsho. 2005 May;63(5):874-8
pubmed: 15881184
Chest. 2008 Jan;133(1):300-4
pubmed: 18187759
Nat Rev Rheumatol. 2010 Jul;6(7):406-15
pubmed: 20596053
Semin Arthritis Rheum. 2011 Dec;41(3):461-70
pubmed: 21803399
Int Rev Immunol. 2012 Dec;31(6):462-73
pubmed: 23215768
Am J Hum Genet. 2013 Aug 8;93(2):289-97
pubmed: 23830516
J Rheumatol. 2013 Dec;40(12):2047-51
pubmed: 24187104
Int J Rheum Dis. 2014 Mar;17(3):238-47
pubmed: 24548718
Arthritis Rheumatol. 2015 May;67(8):2226-32
pubmed: 25931203
Semin Arthritis Rheum. 2016 Feb;45(4):475-82
pubmed: 26315859
Medicine (Baltimore). 1985 Mar;64(2):89-99
pubmed: 2858047
Ann Rheum Dis. 2018 Mar;77(3):348-354
pubmed: 29191819