Department of Gastroenterology, Mito Kyodo General Hospital, 3-2-7 Miya-Machi, Mito, Ibaraki, 310-0015, Japan.
Department of Rheumatology, Mito Kyodo General Hospital, Mito, Japan.
Clin J Gastroenterol. 2024 Apr;17(2):281-285. doi: 10.1007/s12328-023-01904-9. Epub 2024 Jan 5.
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.
一位 23 岁女性因发热、腹泻、血便和关节痛就诊,尽管之前接受了治疗,但症状并未改善,并被诊断为克罗恩病。在使用英夫利昔单抗、营养治疗和 5-氨基水杨酸治疗后,病情缓解。然而,尽管没有出现症状复发,除了在接下来的一年中有腹痛外,患者的血沉仍居高不下。在计算机断层扫描中还观察到降主动脉胸段的主动脉壁增厚。正电子发射断层扫描-计算机断层扫描证实降主动脉和腹主动脉有堆积物。该患者被诊断为 Takayasu 动脉炎。患者的腹部症状缓解,血沉正常,在给予类固醇后。