A case of ankylosing spondylitis with concurrent Takayasu arteritis.
J Int Med Res. 2018 Jan 01;:300060518769548
Authors: Matsushita M, Kobayashi S, Tada Okay, Hayashi E, Yamaji Okay, Amano A, Tamura N
We herein report a case involving a 56-year-old man who had skilled neck and decrease again ache because the age of 23 years. Ankylosing spondylitis (AS) was recognized at 41 years of age, and remedy with sulfasalazine was initiated. At 44 years of age, the affected person developed respiratory misery on exertion and chest ache. Aortic regurgitation (AR) was recognized by way of echocardiography, and the affected person offered to our hospital for shut examination and remedy. Coronary computed tomography angiography revealed no lesions within the coronary artery; nevertheless, magnetic resonance angiography revealed stenotic lesions within the left widespread carotid artery and left subclavian artery. Primarily based on the findings of a bodily examination, fundus examination, and blood exams, the affected person was recognized with AS with concurrent Takayasu arteritis (TA). Upon administration of steroids to alleviate irritation attributable to an autoimmune mechanism, the affected person’s chest signs and inflammatory findings improved. AR was handled with aortic valve substitute and prosthetic blood vessel substitute, after which the affected person progressed effectively. Intraoperative aortic biopsy revealed findings pathologically in keeping with TA. Though AS with concurrent AR is effectively described, AS with concurrent TA, as within the current case, is uncommon.
PMID: 29690806 [PubMed – as supplied by publisher]