Takayasu Arteritis Coexisting with Sclerosing Osteomyelitis

  • Shirai Tsuyoshi
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Hanaoka Riiza
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Goto Yusuke
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Kojima Ikuho
    Department of Oral Diagnosis, Tohoku University Graduate School of Dentistry, Japan
  • Ishii Yusho
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Hoshi Yousuke
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Fujita Yoko
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Shirota Yuko
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Fujii Hiroshi
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Ishii Tomonori
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan
  • Harigae Hideo
    Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Japan

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Abstract

<p>We report a rare case of a 27-year-old woman with Takayasu arteritis (TAK) complicated by diffuse sclerosing osteomyelitis. She first presented with sclerosing osteomyelitis of the right mandible without evidence of arteritis in the carotid arteries. Eight months later, she complained of left neck pain, and imaging studies revealed the presence of arteritis in the left carotid artery. She was diagnosed with TAK, and immunosuppressive treatment was initiated, which was effective for both the arteritis and the osteomyelitis. Osteomyelitis is an important complication of TAK and bone scintigraphy is useful for its detection. </p>

Journal

  • Internal Medicine

    Internal Medicine 57 (13), 1929-1934, 2018-07-01

    The Japanese Society of Internal Medicine

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