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Jornal Vascular Brasileiro

Print version ISSN 1677-5449

Abstract

KONOPKA, Clóvis; BRAUN, Stela Karine  and  MACHADO, Gabriela. Takayasu's arteritis and Crohn's disease: an unusual association. J. vasc. bras. [online]. 2009, vol.8, n.4, pp.355-358.  Epub Sep 11, 2009. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492009005000012.

Takayasu's arteritis and Crohn's disease are chronic inflammatory diseases with unknown etiology. They rarely occur together in the same individual, with less than 30 cases reported in the literature. This case report describes this association in a 36-year-old woman with Crohn’s disease and weak pulses in her left arm with blood pressure of 60/40 mmHg. Angiotomography showed segmental stenosis in the left subclavian artery and circumferential thickening of the aortic wall between T10 and L1, establishing the diagnosis of Takayasu's arteritis. Both are organ-specific and immune-mediated diseases and exhibit granulomas and granulomatous vasculitis, which contribute to reinforce the hypothesis of a common immunologic origin. We believe that this is the first case of concomitant presence of these two diseases reported in the Brazilian literature.

Keywords : Crohn's disease; Takayasu's disease; Takayasu's arteritis; inflammatory bowel disease.

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