Takayasu’s arteritis associated with Crohn’s disease treated with infliximab

A 23-year-old woman presented with fever, diarrhea, bloody stools, and arthralgia that did not improve despite previous treatments and was diagnosed with Crohn’s disease. Remission was achieved after the introduction of infliximab, nutritional therapy, and 5-aminosalicylic acid treatment. However, t...

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Bibliographic Details
Published in:Clinical journal of gastroenterology 2024-04, Vol.17 (2), p.281-285
Main Authors: Ariga, Hiroyuki, Chino, Yusuke, Ojima, Takeshi, Suzuki, Satoshi, Okada, Kenta, Kashimura, Junya
Format: Article
Language:English
Subjects:
Abdominal Pain
Abdominal Surgery
Adult
Case Report
Colorectal Surgery
Crohn Disease - complications
Crohn Disease - diagnosis
Crohn Disease - drug therapy
Diarrhea
Female
Gastroenterology
Hepatology
Humans
Infliximab - therapeutic use
Medicine
Medicine & Public Health
Surgical Oncology
Takayasu Arteritis - complications
Takayasu Arteritis - diagnostic imaging
Takayasu Arteritis - drug therapy
Young Adult
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Summary:A 23-year-old woman presented with fever, diarrhea, bloody stools, and arthralgia that did not improve despite previous treatments and was diagnosed with Crohn’s disease. Remission was achieved after the introduction of infliximab, nutritional therapy, and 5-aminosalicylic acid treatment. However, the patient’s blood sedimentation rate remained elevated without symptom recurrence, except for abdominal pain in the following year. Aortic wall thickening in the thoracic descending aorta was also observed on computed tomography. Accumulation in the thoracic descending aorta and abdominal aorta was confirmed using positron emission tomography–computed tomography. The patient was diagnosed with Takayasu’s arteritis. The patient’s abdominal symptoms resolved, and her blood sedimentation rate normalized after steroid administration.
ISSN:1865-7257
1865-7265
DOI:10.1007/s12328-023-01904-9