coexistence of axial spondyloarthritis and thromboangiitis obliterans in a young woman
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2015
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Abstract
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.
| Reference Key |
lopalco2015reumatismocoexistence
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|---|---|
| Authors | ;G. Lopalco;F. Iannone;D. Rigante;A. Vitale;M.E. Mancini;M. Covelli;G. Lapadula;L. Cantarini |
| Journal | advances in civil engineering |
| Year | 2015 |
| DOI |
10.4081/reumatismo.2015.810
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| URL | |
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