Coexistence of axial spondyloarthritis and thromboangiitis obliterans in a young woman

Submitted: 15 December 2014
Accepted: 13 May 2015
Published: 30 June 2015
Abstract Views: 1370
PDF: 848
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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., Lapadula, G., & 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