[Coexistence of Takayasu's arteritis and inflammatory colitis detected by fluorodeoxyglucose positron emission tomography]

Nihon Rinsho Meneki Gakkai Kaishi. 2017;40(5):387-390. doi: 10.2177/jsci.40.387.
[Article in Japanese]

Abstract

A woman in her thirties was diagnosed as Takayasu's arteritis (TAK) by dilatation, wall thickness of her abdominal aorta in contrast-enhanced computed tomography. Although she didn't have any subjective bowel symptoms, fluorodeoxyglucose (FDG)-positron emission tomography (PET) also revealed uptake of FDG in descending colon, and colonoscopy revealed aphthous colitis. After the start of steroid therapy, both arteritis and colitis were improved. FDG-PET can detect TAK and inflammatory bowel diseases at an early stage. FDG-PET is a less invasive module with a high sensitivity for detecting colitis, therefore should be considered for TAK even without physical colon symptoms.

Keywords: Positron emission tomography; Takayasu's arteritis; inflammatory colitis.

MeSH terms

  • Adult
  • Colitis / complications*
  • Colitis / diagnostic imaging*
  • Female
  • Fluorine Radioisotopes
  • Fluorodeoxyglucose F18
  • Humans
  • Inflammatory Bowel Diseases / complications*
  • Inflammatory Bowel Diseases / diagnostic imaging*
  • Inflammatory Bowel Diseases / drug therapy
  • Positron-Emission Tomography*
  • Prednisolone / administration & dosage
  • Radiopharmaceuticals
  • Sensitivity and Specificity
  • Takayasu Arteritis / complications*
  • Takayasu Arteritis / diagnostic imaging*
  • Takayasu Arteritis / drug therapy
  • Treatment Outcome
  • Vulnerable Populations

Substances

  • Fluorine Radioisotopes
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18
  • Prednisolone