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

Akira HOKAMA, Fukunori KINJO, Tamiki ARAKAKI, Ryoji MATAYOSHI, Yoshimasa YONAMINE, Ryosaku TOMIYAMA, Takashi SUNAGAWA, Tomoko MAKISHI, Mariko KAWANE, Kageharu KOJA, Atsushi SAITO

Author information

Akira HOKAMA
The First Department of Internal Medicine, University of the Ryukyus
Fukunori KINJO
The Department of Endoscopy, University of the Ryukyus
Tamiki ARAKAKI
The First Department of Internal Medicine, University of the Ryukyus
Ryoji MATAYOSHI
The First Department of Internal Medicine, University of the Ryukyus
Yoshimasa YONAMINE
The First Department of Internal Medicine, University of the Ryukyus
Ryosaku TOMIYAMA
The First Department of Internal Medicine, University of the Ryukyus
Takashi SUNAGAWA
The First Department of Internal Medicine, University of the Ryukyus
Tomoko MAKISHI
The First Department of Internal Medicine, University of the Ryukyus
Mariko KAWANE
The First Department of Internal Medicine, University of the Ryukyus
Kageharu KOJA
The Second Department of Surgery, University of the Ryukyus
Atsushi SAITO
The First Department of Internal Medicine, University of the Ryukyus

Keywords: Takayasu's arteritis, ulcerative colitis, HLA

JOURNAL FREE ACCESS

2003 Volume 42 Issue 9 Pages 897-898

DOI https://doi.org/10.2169/internalmedicine.42.897

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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.
(Internal Medicine 42: 897-898, 2003)

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