Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review
Introduction. The association of rheumatoid arthritis (RA) and ankylosing spondylitis (AS) in a single patient is a rarely described phenomenon. AS and RA are conditions that can have a high impact on the morbidity and mortality of patients. Methods. We described the clinical, epidemiological, analy...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2022/8500567 |
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| author | Bryan-Josué Flores-Robles Eztizen Labrador-Sánchez Estíbaliz Andrés-Trasahedo Valvanera Pinillos-Aransay María-Yasmina Joven-Zapata Laura Torrecilla Lerena Osman-Alberto Salazar-Asencio Juan-Antonio López-Martín |
| author_facet | Bryan-Josué Flores-Robles Eztizen Labrador-Sánchez Estíbaliz Andrés-Trasahedo Valvanera Pinillos-Aransay María-Yasmina Joven-Zapata Laura Torrecilla Lerena Osman-Alberto Salazar-Asencio Juan-Antonio López-Martín |
| author_sort | Bryan-Josué Flores-Robles |
| collection | DOAJ |
| description | Introduction. The association of rheumatoid arthritis (RA) and ankylosing spondylitis (AS) in a single patient is a rarely described phenomenon. AS and RA are conditions that can have a high impact on the morbidity and mortality of patients. Methods. We described the clinical, epidemiological, analytical, and radiological characteristics of 81 patients with concomitant diagnosis of rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Of these patients, seven were diagnosed at our hospital. A literature review was carried out using Medline, Embase, Scopus, and virtual hospital libraries, including the period from January 1950 to April 2020. Results. Regarding the results, 71% of the patients were men, with a mean age of 53 years (±14.83). RA was the first disease diagnosed in 52% of the cases. Approximately 53% of the patients had rheumatoid nodules, and 83% reported inflammatory lumbar pain during their evaluation. Erosions were observed on radiographs of the hands and/or feet in 85% of the cases, and almost all the patients (80/81) had sacroiliitis on imaging studies. Approximately 92% of the cases were rheumatoid factor (RF) positive and 90% HLA B-27 positive. Conclusions. The coexistence of RA and AS is highly uncommon. With the data obtained in this review, it seems that there exist erosive radiological patterns, positivity for RF, involvement of the axial skeleton, and rheumatoid nodules at a higher frequency than those patients with a single diagnosis of the two entities. More data are needed to corroborate this association. |
| format | Article |
| id | doaj-art-e84a46472d794aa880518a320f61d0a3 |
| institution | Kabale University |
| issn | 2090-6897 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-e84a46472d794aa880518a320f61d0a32025-02-03T05:53:39ZengWileyCase Reports in Rheumatology2090-68972022-01-01202210.1155/2022/8500567Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature ReviewBryan-Josué Flores-Robles0Eztizen Labrador-Sánchez1Estíbaliz Andrés-Trasahedo2Valvanera Pinillos-Aransay3María-Yasmina Joven-Zapata4Laura Torrecilla Lerena5Osman-Alberto Salazar-Asencio6Juan-Antonio López-Martín7San Pedro HospitalSan Pedro HospitalSan Pedro HospitalSan Pedro HospitalSan Pedro HospitalSan Pedro HospitalSon Espases University HospitalSan Pedro HospitalIntroduction. The association of rheumatoid arthritis (RA) and ankylosing spondylitis (AS) in a single patient is a rarely described phenomenon. AS and RA are conditions that can have a high impact on the morbidity and mortality of patients. Methods. We described the clinical, epidemiological, analytical, and radiological characteristics of 81 patients with concomitant diagnosis of rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Of these patients, seven were diagnosed at our hospital. A literature review was carried out using Medline, Embase, Scopus, and virtual hospital libraries, including the period from January 1950 to April 2020. Results. Regarding the results, 71% of the patients were men, with a mean age of 53 years (±14.83). RA was the first disease diagnosed in 52% of the cases. Approximately 53% of the patients had rheumatoid nodules, and 83% reported inflammatory lumbar pain during their evaluation. Erosions were observed on radiographs of the hands and/or feet in 85% of the cases, and almost all the patients (80/81) had sacroiliitis on imaging studies. Approximately 92% of the cases were rheumatoid factor (RF) positive and 90% HLA B-27 positive. Conclusions. The coexistence of RA and AS is highly uncommon. With the data obtained in this review, it seems that there exist erosive radiological patterns, positivity for RF, involvement of the axial skeleton, and rheumatoid nodules at a higher frequency than those patients with a single diagnosis of the two entities. More data are needed to corroborate this association.http://dx.doi.org/10.1155/2022/8500567 |
| spellingShingle | Bryan-Josué Flores-Robles Eztizen Labrador-Sánchez Estíbaliz Andrés-Trasahedo Valvanera Pinillos-Aransay María-Yasmina Joven-Zapata Laura Torrecilla Lerena Osman-Alberto Salazar-Asencio Juan-Antonio López-Martín Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review Case Reports in Rheumatology |
| title | Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review |
| title_full | Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review |
| title_fullStr | Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review |
| title_full_unstemmed | Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review |
| title_short | Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review |
| title_sort | concurrence of rheumatoid arthritis and ankylosing spondylitis analysis of seven cases and literature review |
| url | http://dx.doi.org/10.1155/2022/8500567 |
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