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Published on: February 8, 2019
Takayasu's Arteritis and Crohn's Disease in a Young Hispanic Female
Namrata Singh1, Shireesh Saurabh2, Irene J Tan3
1Immunology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, C42 E 10, Iowa City, IA 52241, USA.
Insights
Takayasu arteritis and Crohn's disease co-occurred in a young Hispanic female. Interleukin 12 B (IL-12B) may be a shared autoimmune mechanism and therapeutic target for these rare inflammatory conditions.
Area of Science:
- Immunology
- Genetics
- Vascular Medicine
Background:
- Takayasu arteritis (TA) and Crohn's disease (CD) are chronic inflammatory granulomatous disorders.
- TA affects large vessels, primarily the aorta, in young Asian women.
- CD primarily affects the gastrointestinal tract, more common in young Caucasians.
Purpose of the Study:
- To describe a rare co-occurrence of Takayasu arteritis and Crohn's disease in a young Hispanic female.
- To review existing literature on this rare disease combination.
- To explore potential genetic linkage and shared autoimmune mechanisms, focusing on IL-12B.
Main Methods:
- Case report of a young Hispanic female diagnosed with both TA and CD.
- Comprehensive literature review of co-existing TA and CD.
- Analysis of potential genetic factors and immunological pathways, including IL-12B.
Main Results:
- Detailed presentation of a unique case of TA and CD in a young Hispanic patient.
- Identification of limited existing literature on this specific comorbidity.
- Hypothesized role of IL-12B as a common autoimmune pathway.
Conclusions:
- The co-occurrence of TA and CD is exceptionally rare.
- Interleukin 12 B (IL-12B) presents a potential common autoimmune mechanism.
- IL-12B may represent a novel therapeutic target for patients with both TA and CD.
Abstract:
Takayasu's arteritis (TA) and Crohn's disease (CD) are chronic inflammatory granulomatous disorders of undetermined etiology. TA is a large vessel vasculitis with a predilection for the aorta and its branches in young women of Asian descent; whereas CD has characteristic gastrointestinal manifestations more prevalent in young Caucasians. We describe a case of both diseases in a young Hispanic female, review the literature, and impart new insight on possible genetic linkage and the role of interleukin 12 B (IL-12B) as the common autoimmune mechanism and potential therapeutic target in this rare disease combination.
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