Coexistence of systemic lupus erythematosus after TNF inhibitor therapy in patient with ankylosing spondylitis

Main Article Content

Wanwaleeya Tongthong
Jenpop Marungruang
Sungchai Angthararak

Abstract

A 33-year-old single Thai male was diagnosed with ankylosing spondylitis that not responded to treatment with conventional disease-modifying antirheumatic drugs (csDMARDs) then he received tumor necrosis factor (TNF) inhibitor and developed anemia and thrombocytopenia and positive test for antinuclear antibody (ANA) positive 1:320 homogeneous pattern, it is considered secondary to systemic lupus erythematosus (SLE) induced by the use of TNF inhibitors.

Article Details

How to Cite
1.
Tongthong W, Marungruang J, Angthararak S. Coexistence of systemic lupus erythematosus after TNF inhibitor therapy in patient with ankylosing spondylitis. Thai J Rheu [Internet]. 2024 Nov. 8 [cited 2024 Dec. 22];1(3):64-9. Available from: https://he04.tci-thaijo.org/index.php/tjr/article/view/2379
Section
Case Report

References

Rudwaleit M, Landewé R, van der Heijde D, Listing J, Brandt J, Braun J, et al. The development of Assessment of Spondyloarthritis International Society classification criteria for axial spondyloarthritis (part I): classificationof paper patients by expert opinion including uncertainty appraisal. Ann Rheum Dis 2009; 68: 770-6.

Hochberg MC. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1997; 40: 1725.

Nashel DJ, Leonard A, Mann DL, Guccion JG, Katz AL, Sliwinski AJ. Ankylosing spondylitis and systemic lupus erythematosus: a rare HLA combination. Arch Intern Med 1982; 142: 1227-8.

Olivieri I, Gemignani G, Balagi M, Pasquariello A, Gremignai G, Pasero G. Concomitant systemic lupus erythematosus and ankylosing spondylitis. Ann Rheum Dis. 1990; 49: 323-4.

Korkmaz C. Delayed diagnosis of porphyria based on manifestations of systemic lupus erythematosus and ankylosing spondylitis. J Nephrol 2006; 19: 535-9.

Chandrasekhara PK, Jayachandran NV, Thomas J, Narsimulu G. Systemic lupus erythematosus and dermatomyositis with symtomatic bilateral sacroiliitis: an unusual and interesting association. Mod Rheumatol 2009; 19: 84-6.

Singh S, Sonkar GK, Singh U. Coexistence of ankylosing spondylitis and systemic lupus erythematosus. J Chin Med Assoc 2010; 73: 260-1.

Jiang L, Dai X, Liu J, Ma L, Yu F. Hypoparathyroidism in a patient with systemic lupus erythematosus coexisted with ankylosing spondylitis: a case report and review of literature. Joint Bone Spine 2010; 77: 608-10.

Mrabet D, Rekik S, Sahli H, Trojet S, Cheour I, Eleuch M, et al. Ankylosing spondylitis in female systemic lupus erythematosus: a rare combination.Lupus 2011; 20: 777-8.

Kook MH, Yoo HG, Hong MJ, Yoo WH. Coexisting systemic lupus erythematosus and ankylosing spondylitis: a case report and review of the literature.Lupus 2012; 21: 348-9.

Tarhan F, Argın M, Can G, Özmen M, Keser G. Coexistence of systemic lupus erythematosus and ankylosing spondylitis: another case report and review of the literature. Eur J Rheumatol. 2014;1(2):85-88. doi:10.5152/eurjrheum.2014.008.

Martin A, Oliveira D, et al. Drug-induced lupus erythematosus secondary to TNF inhibitors in patients with spondyloarthritis and psoriatic arthritis. Ann Rheum Dis. 2024;83(Suppl 1). doi:10.1136/annrheumdis-2021-eular.2953