본문 바로가기
KERD
논문KCI 등재

강직척추염 발병 이후 전신경화증과 흉수가 동반된 1예

Systemic Sclerosis and Pleural Effusion in a Patient with Ankylosing Spondylitis

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류내과학

초록

Systemic sclerosis (SSc) is a chronic autoimmune disorder characterized by endothelial and fibroblast dysfunction, resulting in progressive fibrosis of the skin and internal organs. Ankylosing spondylitis (AS) is an arthritic condition affecting the axial skeleton and peripheral joints. An association between SSc and AS is relatively rare, as the two diseases share few characteristics. Here, we present a case of limited SSc in a 44-year-old man who exhibited low-grade AS, and discuss several cases of coexisting SSc and AS in the literature. Patients with both diseases showed several common features, including male predominance, middle age, and combined interstitial lung disease. However, unlike our case, the patients reported in the literature had advanced ankylosis and diffuse SSc.

Abstract

Systemic sclerosis (SSc) is a chronic autoimmune disorder characterized by endothelial and fibroblast dysfunction, resulting in progressive fibrosis of the skin and internal organs. Ankylosing spondylitis (AS) is an arthritic condition affecting the axial skeleton and peripheral joints. An association between SSc and AS is relatively rare, as the two diseases share few characteristics. Here, we present a case of limited SSc in a 44-year-old man who exhibited low-grade AS, and discuss several cases of coexisting SSc and AS in the literature. Patients with both diseases showed several common features, including male predominance, middle age, and combined interstitial lung disease. However, unlike our case, the patients reported in the literature had advanced ankylosis and diffuse SSc.

참고문헌 (17)

  1. LeRoy EC, "Scleroderma (systemic sclerosis): classification, subsets and pathogenesis", J Rheumatol, 15, pp.202~205 (1988)
  2. Park H, "Lighting the fires within: the cell biology of autoinflammatory diseases", Nat Rev Immunol, 12, pp.570~580 (2012)[DOI]
  3. Dean LE, "Global prevalence of ankylosing spondylitis", Rheumatology (Oxford), 53, pp.650~657 (2014)[DOI]
  4. Barnes J, "Epidemiology of systemic sclerosis: incidence, prevalence, survival, risk factors, malignancy, and environmental triggers", Curr Opin Rheumatol, 24, pp.165~170 (2012)[DOI]
  5. Arslan Tas D, "Sacroiliac joint involvement in systemic sclerosis", Int J Rheum Dis, 18, pp.84~90 (2015)[DOI]
  6. Witt P, "Transfer dysphagia in a patient with the rare combination of scleroderma and ankylosing spondylitis", J Natl Med Assoc, 79, pp.993~994 (1987)
  7. Pham T, "Concomitant spondylarthropathy and CREST syndrome", Clin Exp Rheumatol, 17, pp.754~ (1999)
  8. Kayser C, "Severe ankylosing spondylitis and diffuse systemic sclerosis: case report of a genetic trap", Scand J Rheumatol, 34, pp.145~147 (2005)[DOI]
  9. Soledade CS, "Unusual association of systemic sclerosis and ankylosing spondylitis", Clin Rheumatol, 24, pp.652~654 (2005)[DOI]
  10. Ouedraogo DD, "Ankylosing spondylitis and systemic sclerosis: a rare combination", Joint Bone Spine, 76, pp.290~292 (2009)[DOI]
  11. Rudwaleit M, "The development of assessment of spondyloarthritis international society classification criteria for axial spondyloarthritis (part II): validation and final selection", Ann Rheum Dis, 68, pp.777~783 (2009)[DOI]
  12. van den Hoogen F, "2013 classification criteria for systemic sclerosis: an American college of rheumatology", European league against rheumatism collaborative initiative, 2013, pp.65, 2737~2747
  13. Olivieri I, "Concomitant systemic lupus erythematosus and ankylosing spondylitis", Ann Rheum Dis, 49, pp.323~324 (1990)[DOI]
  14. Rabin BS, "Letter: HL-A antigens in progressive systemic sclerosis (scleroderma)", Arthritis Rheum, 18, pp.381~382 (1975)[DOI]
  15. Thompson AE, "A study of the frequency of pericardial and pleural effusions in scleroderma", Br J Rheumatol, 37, pp.1320~1323 (1998)[DOI]
  16. Luo YF, "Frequency of pleural effusions in patients with pulmonary arterial hypertension associated with connective tissue diseases", Chest, 140, pp.42~47 (2011)[DOI]
  17. Rosenow E, "Pleuropulmonary manifestations of ankylosing spondylitis", Mayo Clin Proc, 52, pp.641~649 (1977)

관련 논문AI추천

이 간행물의 다른 논문 (5건)