Ankylosing spondylitis with concurrent Takayasu arteritis: a clinical case report
https://doi.org/10.14412/1996-7012-2019-4-75-78
Abstract
The paper describes a rare clinical case of ankylosing spondylitis (AS) with concurrent with Takayasu arteritis (AT). It considers the common immunopathogenetic mechanisms that can link these two diseases. Taking into account that there may be common triggering factors for AS and AT, it is necessary to make an examination to diagnose AT when a patient with AS is found to have fever, an increase in the indicators of acute phase inflammation, and the objective signs of cardiovascular disease characteristic of large-vessel vasculitis.
About the Authors
O. B. NesmeyanovaRussian Federation
Olga Borisovna Nesmeyanova
70, Vorovsky St., Chelyabinsk 454076
G. M. Khusainova
Russian Federation
64, Vorovsky St., Chelyabinsk 454092
E. A. Bogdanova
Russian Federation
70, Vorovsky St., Chelyabinsk 454076
O. V. Solovyeva
Russian Federation
70, Vorovsky St., Chelyabinsk 454076
K. P. Ratushnaya
Russian Federation
70, Vorovsky St., Chelyabinsk 454076
A. N. Kharkova
Russian Federation
70, Vorovsky St., Chelyabinsk 454076
References
1. Erdes ShF, Badokin VV, Bochkova AG, et al. On the terminology of spondyloarthritis. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2015;53(6):657-60. (In Russ.). doi: 10.14412/1995-4484-2015-657-660
2. Yasemin O. Cardiac Involvement in Ankylosing Spondylitis. J Clin Med Res. 2016 Jun; 8(6):427-430. doi: 10.14740/jocmr2488w
3. Matsushita M, Kobayashi S, Tada K, et al. A case of ankylosing spondylitis with concurrent Takayasu arteritis. J Int Med Res. 2018 Jun; 46(6):2486-2494. doi: 10.1177/0300060518769548. Epub 2018 Apr 24.
4. Beketova TV, Nasonov EL. Modern classification of systemic vasculitis. Terapevticheskii arkhiv. 2014;(5):94-8. (In Russ.).
5. Arend WP, Michel BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum. 1990 Aug;33(8): 1129-34.
6. Nasonov EL, editor. Rossiiskie klinicheskie rekomendatsii. Revmatologiya [Russian clinical guidelines. Rheumatology]. Moscow: GEOTAR-Media; 2017. 464 p.
7. Grygotis L. Large-Vessel Vasculitis Classification: Draft Criteria Presented at ACR/ARHP 2018. https://www.rheumatol-ogyadvisor.com/home/conference-highlights/acr-2018-coverage/large-vessel-vasculitis-classification-draft-criteria-presented-at-acr-arhp-2018/
8. Pokrovskii A, Zotikov A, Gryaznov O. Nonspecific aortoarteritis: Prospects for treatment. Vrach. 2002;(5):3-6. (In Russ.).
9. Association of rheumatologists of Russia. Federal clinical guidelines for the diagnosis and treatment of systemic vasculitis. Moscow, 2013.] https://rheumatolog.su/media/media/2018/07/18/clinrec_sis_vasc.pdf
10. Terao C. History of Takayasu arteritis and Dr. Mikito Takayasu. Int J Rheum Dis. 2014 Nov; 17(8):931-5. doi: 10.1111/1756-185X.12576.
11. Riviere E, Arnaud L, Ebbo M, et al. Takayasu Arteritis and Spondyloarthritis: Coincidence or Association? A Study of 14 Cases. J Rheumatol. 2017 Jul;44(7): 1011-1017. doi: 10.3899/jrheum.160762.
12. Mielnik P, Hjelle AM, Nordeide JL. Coexistence of Takayasu’s arteritis and ankylosing spondylitis may not be accidental – Is there a need for a new subgroup in the spondyloarthritis family? Mod Rheumatol. 2018 Mar;28(2):313-318. doi: 10.1080/14397595.2017.1341592.
13. Terao C, Yoshifuji H, Kimura A, et al. Two susceptibility loci to Takayasu arteritis reveal a synergistic role of the IL12B and HLA-B regions in a Japanese population. Am J Hum Genet. 2013 Aug 8;93(2):289-97. doi: 10.1016/j.ajhg.2013.05.024.
14. Galushko EA, Gordeev AV. Modern idea on the pathogenesis of spondyloarthritis: molecular mechanisms. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2015;53(3):299-307. (In Russ.). doi: 10.14412/1995-4484-2015-299-307
15. Terao C, Yoshifuji H, Nakajima T, et al. Ustekinumab as a therapeutic option for Takayasu arteritis: from genetic findings to clinical application. Scand J Rheumatol. 2016 Jan;45(1):80-82. doi: 10.3109/03009742.2015.1060521. Epub 2015 Aug 31.
16. Souabni L, Ben Abdelghani K, Jradi S, et al. Takayasu's arteritis occurring under TNF-α blockers: a new paradoxical effect? BMJ Case Rep. 2014 Nov 24;2014. pii: bcr2014204226. doi: 10.1136/bcr-2014-204226.
17. Nasonov EL, Baranov AA, Shilkina NP. Vaskulity i vaskulopatii [Vasculitis and vasculopathy]. Yaroslavl': Verkhnyaya Volga; 1999. 616 p.
18. Carvalho ES, de Souza AW, Leao SC, et al. Absence of mycobacterial DNA in peripheral blood and artery specimens in patients with Takayasu arteritis. Clin Rheumatol. 2017 Jan; 36(1): 205-208. doi: 10.1007/s10067-016-3400-0
Review
For citations:
Nesmeyanova OB, Khusainova GM, Bogdanova EA, Solovyeva OV, Ratushnaya KP, Kharkova AN. Ankylosing spondylitis with concurrent Takayasu arteritis: a clinical case report. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2019;13(4):75-78. (In Russ.) https://doi.org/10.14412/1996-7012-2019-4-75-78