Hemoptysis originating from the bronchial artery in takayasu arteritis with ulcerative colitis

Ryota Imamura, Keigo Hayashi, Kenei Sada, Yuriko Yamamura, Satoshi Yamaguchi, Michiko Morishita, Haruki Watanabe, Yoshinori Matsumoto, Jun Wada

Research output: Contribution to journalArticle

Abstract

Takayasu arteritis (TAK) is a large-vessel vasculitis affecting the aorta and its main branches. Hemoptysis can be experienced as the respiratory manifestation, but origination from a bronchial artery is rare. Ulcerative colitis (UC) shares genetic similarities with TAK; HLA-B52*01 is associated with TAK and UC. We herein report a patient who presented with hemoptysis from the right bronchial artery and was diagnosed with TAK during the follow-up of UC. Transcatheter embolization was performed, and prednisolone and tocilizumab induced remission. Complication of TAK should be considered in the clinical course of HLA-B52-positive UC patients, and tocilizumab may be a treatment option.

Original languageEnglish
Pages (from-to)293-295
Number of pages3
JournalInternal Medicine
Volume58
Issue number2
DOIs
Publication statusPublished - Jan 15 2019

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Keywords

  • Bronchial arteries
  • Hemoptysis
  • Takayasu arteritis
  • Tocilizumab
  • Ulcerative colitis

ASJC Scopus subject areas

  • Internal Medicine

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