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

doi:10.2169/internalmedicine.1463-18

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 journal › Article › peer-review

3 Citations (Scopus)

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 language	English
Pages (from-to)	293-295
Number of pages	3
Journal	Internal Medicine
Volume	58
Issue number	2
DOIs	https://doi.org/10.2169/internalmedicine.1463-18
Publication status	Published - Jan 15 2019

Keywords

Bronchial arteries
Hemoptysis
Takayasu arteritis
Tocilizumab
Ulcerative colitis

ASJC Scopus subject areas

Internal Medicine

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10.2169/internalmedicine.1463-18

Cite this

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title = "Hemoptysis originating from the bronchial artery in takayasu arteritis with ulcerative colitis",

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.",

keywords = "Bronchial arteries, Hemoptysis, Takayasu arteritis, Tocilizumab, Ulcerative colitis",

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

note = "Funding Information: This work was supported by grants from the Ministry of Health, Labour and Welfare, Japan (nannti-ippann-018), and the Japan Agency for Medical Research and Development (17ek 0109104 and 17ek0109121). Publisher Copyright: {\textcopyright} 2019 The Japanese Society of Internal Medicine.",

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AU - Imamura, Ryota

AU - Hayashi, Keigo

AU - Sada, Kenei

AU - Yamamura, Yuriko

AU - Yamaguchi, Satoshi

AU - Morishita, Michiko

AU - Watanabe, Haruki

AU - Matsumoto, Yoshinori

AU - Wada, Jun

N1 - Funding Information: This work was supported by grants from the Ministry of Health, Labour and Welfare, Japan (nannti-ippann-018), and the Japan Agency for Medical Research and Development (17ek 0109104 and 17ek0109121). Publisher Copyright: © 2019 The Japanese Society of Internal Medicine.

PY - 2019/1/15

Y1 - 2019/1/15

N2 - 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.

AB - 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.

KW - Bronchial arteries

KW - Hemoptysis

KW - Takayasu arteritis

KW - Tocilizumab

KW - Ulcerative colitis

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

Abstract

Keywords

ASJC Scopus subject areas

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