Hanses, Frank and Mueller-Ladner, Ulf and Schoelmerich, Juergen and Schaeffler, Andreas (2004) 33 year old patient with thoraco-abdominal pain and differences of blood pressure. INTERNIST, 45 (12). pp. 1423-1427. ISSN 0020-9554,
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We report on a 33-year-old women with ulcerative colitis, who presented with inspiratory thoracic pain due to perimyocarditis. Furthermore, postprandial abdominal pain associated with diarrhea and different blood pressure values on both arms were recorded. Computed tomography revealed embolism of the pulmonal arteries and angiography demonstrated stenoses of the subclavian and renal arteries and the celiac trunc suggesting the diagnosis of Takayasu's arteritis. A coronary or infectious etiology could be excluded. Since a coincidence of Takayasu's arteritis and ulcerative colitis has been reported in the literature, abdominal pain and diarrhea can either be explained by the inflammatory bowel disease or by chronic ischemia due to intestinal vasculitis. Differential diagnosis will be facilitated by the future course of the disease.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TAKAYASU-ARTERITIS; DISEASE; CLASSIFICATION; CRITERIA; Takayasu's arteritis; ulcerative colitis; inflammatory bowel disease; vasculitis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 21 Jun 2021 10:02 |
| Last Modified: | 21 Jun 2021 10:02 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36907 |
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