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Inflammatory bowel diseases and Takayasu's arteritis: coincidence or association?

Byline: Levent Kilic, Umut Kalyoncu, Omer Karadag, Ali Akdogan, Ismail Dogan, Sule Apras Bilgen, Sedat Kiraz, Ihsan Ertenli Keywords: anti-neutrophil cytoplasmic antibody; anti-saccharomyces antibody; inflammatory bowel disease; Takayasu's arteritis Abstract Background Takayasu's arteritis (TA) and... Full description

Journal Title: International Journal of Rheumatic Diseases August 2016, Vol.19(8), pp.814-818
Main Author: Kilic, Levent
Other Authors: Kalyoncu, Umut , Karadag, Omer , Akdogan, Ali , Dogan, Ismail , Bilgen, Sule Apras , Kiraz, Sedat , Ertenli, Ihsan
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ID: ISSN: 1756-1841 ; E-ISSN: 1756-185X ; DOI: 10.1111/1756-185X.12837
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recordid: wj10.1111/1756-185X.12837
title: Inflammatory bowel diseases and Takayasu's arteritis: coincidence or association?
format: Article
creator:
  • Kilic, Levent
  • Kalyoncu, Umut
  • Karadag, Omer
  • Akdogan, Ali
  • Dogan, Ismail
  • Bilgen, Sule Apras
  • Kiraz, Sedat
  • Ertenli, Ihsan
subjects:
  • Anti‐Neutrophil Cytoplasmic Antibody
  • Anti‐Saccharomyces Antibody
  • Inflammatory Bowel Disease
  • Takayasu'S Arteritis
ispartof: International Journal of Rheumatic Diseases, August 2016, Vol.19(8), pp.814-818
description: Byline: Levent Kilic, Umut Kalyoncu, Omer Karadag, Ali Akdogan, Ismail Dogan, Sule Apras Bilgen, Sedat Kiraz, Ihsan Ertenli Keywords: anti-neutrophil cytoplasmic antibody; anti-saccharomyces antibody; inflammatory bowel disease; Takayasu's arteritis Abstract Background Takayasu's arteritis (TA) and inflammatory bowel disease (IBD) are rare diseases but there are case reports presenting their co-existence in the literature. The aim of this study was to investigate the relation between IBD and TA. Methods We studied 52 consecutive TA patients (90.3% female); medical records of the patients were analyzed retrospectively and serum samples were taken during the control visits for anti-neutrophil cytoplasmic antibody (ANCA) and anti-saccharomyces antibody (ASCA) tests. Results Overall three (5.8%) of 52 patients had both IBD and TA. All were first diagnosed as IBD and the period between the diagnosis of IBD and TA was 9, 30 and 60 months, respectively. The age at diagnosis of TA was younger for the patients with IBD as compared to TA patients without IBD, but the difference was not statistically significant. Two patients had type-5 and one had type-2a TA. In 92 participants (52 with TA and 40 healthy controls) none had positive results for ANCA or ASCA. Conclusion Anti-saccharomyces antibody and ANCA tests are not useful for predicting the association between TA and IBD. On the other hand, both diseases have similar patient characteristics and pathophysiology which make us suspect that there may be an interaction. If a patient with IBD under immunosuppressive treatment has ongoing symptoms such as fever, weight loss, hypertension or high acute phase reactants, TA may be the cause. Further trials are needed but their coexistence cannot be explained as incidental.
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identifier: ISSN: 1756-1841 ; E-ISSN: 1756-185X ; DOI: 10.1111/1756-185X.12837
fulltext: fulltext
issn:
  • 1756-1841
  • 17561841
  • 1756-185X
  • 1756185X
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titleInflammatory bowel diseases and Takayasu's arteritis: coincidence or association?
creatorKilic, Levent ; Kalyoncu, Umut ; Karadag, Omer ; Akdogan, Ali ; Dogan, Ismail ; Bilgen, Sule Apras ; Kiraz, Sedat ; Ertenli, Ihsan
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subjectAnti‐Neutrophil Cytoplasmic Antibody ; Anti‐Saccharomyces Antibody ; Inflammatory Bowel Disease ; Takayasu'S Arteritis
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descriptionByline: Levent Kilic, Umut Kalyoncu, Omer Karadag, Ali Akdogan, Ismail Dogan, Sule Apras Bilgen, Sedat Kiraz, Ihsan Ertenli Keywords: anti-neutrophil cytoplasmic antibody; anti-saccharomyces antibody; inflammatory bowel disease; Takayasu's arteritis Abstract Background Takayasu's arteritis (TA) and inflammatory bowel disease (IBD) are rare diseases but there are case reports presenting their co-existence in the literature. The aim of this study was to investigate the relation between IBD and TA. Methods We studied 52 consecutive TA patients (90.3% female); medical records of the patients were analyzed retrospectively and serum samples were taken during the control visits for anti-neutrophil cytoplasmic antibody (ANCA) and anti-saccharomyces antibody (ASCA) tests. Results Overall three (5.8%) of 52 patients had both IBD and TA. All were first diagnosed as IBD and the period between the diagnosis of IBD and TA was 9, 30 and 60 months, respectively. The age at diagnosis of TA was younger for the patients with IBD as compared to TA patients without IBD, but the difference was not statistically significant. Two patients had type-5 and one had type-2a TA. In 92 participants (52 with TA and 40 healthy controls) none had positive results for ANCA or ASCA. Conclusion Anti-saccharomyces antibody and ANCA tests are not useful for predicting the association between TA and IBD. On the other hand, both diseases have similar patient characteristics and pathophysiology which make us suspect that there may be an interaction. If a patient with IBD under immunosuppressive treatment has ongoing symptoms such as fever, weight loss, hypertension or high acute phase reactants, TA may be the cause. Further trials are needed but their coexistence cannot be explained as incidental.
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titleInflammatory bowel diseases and Takayasu's arteritis: coincidence or association?
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