[Takayasu arteritis after COVID-19 infection in a 26-year-old female patient with Crohn’s disease].

Publication date: Feb 28, 2024

Extraintestinal manifestations, e. g. of the skin, joints or liver, are frequently found in Crohn’s disease. We report about a 26-year-old female patient with longstanding Crohn’s disease, who was admitted to our hospital with suspicion of an acute attack with suggestive symptoms and increased significantly inflammatory parameters. Shortly before, symptomatic COVID-19 disease (SARS-CoV-2 variant omicron) had been made. Comprehensive endoscopic and imaging diagnostics ruled out active Crohn’s disease. However, inflammatory thickening of the aortic arch was seen, and a diagnosis of Takayasu arteritis (type II b) was made. Steroid therapy resulted in a rapid and sustained improvement of clinical symptoms. The occurrence of Takayasu arteritis is extremely rare outside Japan. An coincidence has been described in chronic inflammatory bowel diseases and is discussed as a possible extraintestinal manifestation. The occurrence of immune-mediated disease after COVID-19 disease has been described and may be triggered by the infection. Patients with inflammatory bowel disease may represent a special risk population.

Concepts Keywords
Aortic Arteritis
Extraintestinal Bowel
Increased Clinical
Japan Covid
Therapy Crohn
Disease
Extraintestinal
Infection
Inflammatory
Occurrence
Old
Patient
Symptoms
Takayasu
Year

Semantics

Type Source Name
disease MESH Takayasu arteritis
disease MESH COVID-19
disease MESH infection
disease MESH Crohn’s disease
disease VO report
disease MESH inflammatory bowel diseases
pathway KEGG Inflammatory bowel disease
disease VO population

Original Article

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