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Buerger’s disease-like arteritis associated with Crohn’s disease. A case of ‘vas-colitis’?
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Abstract
Crohn’s disease and ulcerative colitis are classified as inflammatory bowel diseases (IBD) [1]. Crohn’s disease is characterized by the involvement of the intestinal wall, which leads to the formation of ulcers, fistulas and strictures of the intestine. The disease is more frequently found among Caucasians. Parenteral manifestations are possible in the course of IBD, including osteoarticular and ocular manifestations, affecting the skin or the blood vessels. Only a few cases of the coexistence of Takayasu’s disease and IBD have been reported so far [2–5]. Takayasu’s disease is a chronic inflammation of the large-diameter vessels, which was described for the first time nearly two hundred years ago [6]. The incidence of Takayasu’s disease in the U.S. is estimated at about 2.6 cases per million. This condition, in contrast to IBD, is most common among young women of the Asian origin [7]. In this paper we discuss the case of the co-existence of Crohn’s disease and vasculitis, with symptoms and some angiographic features similar to Buerger’s disease, that was classified as vasculitis associated with systemic disease. So far, the available literature lacks descriptions of similar cases of Crohn’s disease associated with vasculitis mimicking Buerger’s disease.
Abstract
Crohn’s disease and ulcerative colitis are classified as inflammatory bowel diseases (IBD) [1]. Crohn’s disease is characterized by the involvement of the intestinal wall, which leads to the formation of ulcers, fistulas and strictures of the intestine. The disease is more frequently found among Caucasians. Parenteral manifestations are possible in the course of IBD, including osteoarticular and ocular manifestations, affecting the skin or the blood vessels. Only a few cases of the coexistence of Takayasu’s disease and IBD have been reported so far [2–5]. Takayasu’s disease is a chronic inflammation of the large-diameter vessels, which was described for the first time nearly two hundred years ago [6]. The incidence of Takayasu’s disease in the U.S. is estimated at about 2.6 cases per million. This condition, in contrast to IBD, is most common among young women of the Asian origin [7]. In this paper we discuss the case of the co-existence of Crohn’s disease and vasculitis, with symptoms and some angiographic features similar to Buerger’s disease, that was classified as vasculitis associated with systemic disease. So far, the available literature lacks descriptions of similar cases of Crohn’s disease associated with vasculitis mimicking Buerger’s disease.
Keywords
inflammatory bowel diseases, vasculitis, Buerger’s disease-like
About this articleTitle
Buerger’s disease-like arteritis associated with Crohn’s disease. A case of ‘vas-colitis’?
Journal
Issue
Article type
Case report
Pages
53-56
Published online
2015-10-21
Page views
1031
Article views/downloads
1841
DOI
10.5603/AA.2015.0010
Bibliographic record
Acta Angiologica 2015;21(2):53-56.
Keywords
inflammatory bowel diseases
vasculitis
Buerger’s disease-like
Authors
Wojciech Myslinski
Wojciech Barud
Marcin Feldo
Marek Chrapko
Beata Chrapko
Jerzy Mosiewicz
Radoslaw Pietura
Pawel Piekarski
Andrzej Dybala
Tomasz Zubilewicz