Ashraf Sohail, Alkarawi Mohammad Ali, Alokaily Fahda, Alkhushail Abdullah, Alrobayan Abdulrahman
Riyadh Armed Forces Hospital, Gastroenterology, B-87 PO Box 7897, Riyadh 11159, Saudi Arabia.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0490. Epub 2009 Mar 20.
Takayasu's arteritis and inflammatory bowel disease are rarely found together, although the number of cases reported in the literature is increasing. Takayasu's arteritis has been studied in 31 patients from the Arab world but in none of them was it associated with Crohn's disease. We report the case of a Saudi woman previously diagnosed with Crohn's disease who subsequently developed Takayasu's arteritis, which may represent one of many extra-intestinal manifestations of inflammatory bowel disease. The possible aetiological factors, diagnostic methods, differential diagnoses and common pathophysiological mechanisms of the two diseases are discussed. This is the first case report of these two diseases in an Arab patient.
高安动脉炎与炎症性肠病很少同时出现,尽管文献报道的病例数量在增加。对来自阿拉伯世界的31例患者进行了高安动脉炎研究,但其中无一例与克罗恩病相关。我们报告了一名先前被诊断为克罗恩病的沙特女性病例,该患者随后患上了高安动脉炎,这可能是炎症性肠病众多肠外表现之一。讨论了这两种疾病可能的病因、诊断方法、鉴别诊断及常见病理生理机制。这是阿拉伯患者中这两种疾病的首例病例报告。