https://doi.org/10.4081/reumatismo.2015.810

Coexistence of axial spondyloarthritis and thromboangiitis obliterans in a young woman

Vol. 67 No. 1 (2015)
Submitted: 15 December 2014
Accepted: 13 May 2015
Published: 30 June 2015
Thromboangiitis obliterans, Axial spondyloarthritis.
Abstract Views: 1443
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Authors

G. Lopalco
Interdisciplinary Department of Medicine, Rheumatology Unit, Policlinico of Bari, Italy.
F. Iannone
Interdisciplinary Department of Medicine, Rheumatology Unit, Policlinico of Bari, Italy.
D. Rigante
Institute of Pediatrics, Università Cattolica Sacro Cuore, Rome, Italy.
A. Vitale
Research Center of Systemic Autoimmune and Autoinflammatory Diseases, Rheumatology Unit, Policlinico Le Scotte, University of Siena, Siena, Italy.
M.E. Mancini
Interdisciplinary Department of Medicine, Diagnostic Radiology Unit, Policlinico of Bari, Italy.
M. Covelli
Interdisciplinary Department of Medicine, Rheumatology Unit, Policlinico of Bari, Italy.
G. Lapadula
Interdisciplinary Department of Medicine, Rheumatology Unit, Policlinico of Bari, Italy.
L. Cantarini
cantariniluca@hotmail.com
Research Center of Systemic Autoimmune and Autoinflammatory Diseases, Rheumatology Unit, Policlinico Le Scotte, University of Siena, Siena, Italy.
A peculiar coexistence of axial spondyloarthritis and ischemia of the feet and the fourth finger of the left hand in a young woman, who was a heavy smoker, is discussed in this report. This picture was considered within the context of thromboangiitis obliterans. Positivity of anti-nuclear antibodies and mild elevation of inflammatory parameters were noted. Computed tomography angiograms of upper and lower limbs showed luminal narrowing and occlusion of the left humeral, left anterior/posterior tibial and right anterior tibial arteries. Daily iloprost perfusions were started, and smoking cessation was strongly recommended. Coldness and rest pain in the distal extremities improved within a few weeks. The possibility that spondyloarthritis might precede the clinical picture of thromboangiitis obliterans should be considered in heavy smokers.

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How to Cite

Lopalco, G., Iannone, F., Rigante, D., Vitale, A., Mancini, M., Covelli, M., … Cantarini, L. (2015). Coexistence of axial spondyloarthritis and thromboangiitis obliterans in a young woman. Reumatismo, 67(1), 17–20. https://doi.org/10.4081/reumatismo.2015.810

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