A Case of Ankylosing Spondylitis in a Patient with Human Immunodeficiency Virus

Jun Young Im; Mi Ran Park; Tae Wook Kim; Min Jeong Jeong; Jae Shik Jeong; Choong Won Lee

doi:10.4078/jkra.2010.17.4.426

Journal List > J Korean Rheum Assoc > v.17(4) > 1003765

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Im, Park, Kim, Jeong, Jeong, and Lee: A Case of Ankylosing Spondylitis in a Patient with Human Immunodeficiency Virus

Original Article

J Korean Rheum Assoc 2010;17(4):426-430.

Published online: 23 December 2010

DOI: https://doi.org/10.4078/jkra.2010.17.4.426

A Case of Ankylosing Spondylitis in a Patient with Human Immunodeficiency Virus

Jun Young Im, Mi Ran Park, Tae Wook Kim, Min Jeong Jeong, Jae Shik Jeong, Choong Won Lee

Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea

Received 17 June 20102 September 2010 Accepted 3 September 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Human immunodeficiency virus infection is associated with a variety of rheumatic manifestations. The pathogenic mechanisms are not well defined, but evidences suggests multiple mechanisms, including direct or indirect human immunodeficiency virus involvement with a genetic, immunological, and environmental basis. Rheumatic manifestations can occur during the course of human immunodeficiency virus infection, and their presence is associated with an overall poor prognosis for the underlying human immunodeficiency virus infection. We report a case of a 37-year-old male who had ankylosing spondylitis with a human immunodeficiency virus infection.

Keywords: Rheumatic diseases, Ankylosing spondylitis, Human immunodeficiency virus

REFERENCES

1). Winchester R., Bernstein DH., Fischer HD., Enlow R., Solomon G. The co-occurrence of Reiter's syndrome and acquired immunodeficiency. Ann Intern Med. 1987. 106:19–26.

2). Solomon G., Brancato L., Winchester R. An approach to the human immunodeficiency virus-positive patient with a spondyloarthropathic disease. Rheum Dis Clin North Am. 1991. 17:43–58.

3). Withrington RH., Cornes P., Harris JR., Seifert MH., Berrie E., Taylor-Robinson D, et al. Isolation of human immunodeficiency virus from synovial fluid of a patient with reactive arthritis. Br Med J (Clin Res Ed). 1987. 294:484.

4). Aquilar JL., Berman A., Espinoza LR., Blitz B., Lockey R. Autoimmune phenomena in human immunodeficiency virus infection. Am J Med. 1988. 85:283–4.

5). Michaels FH., Banks KL., Reitz MS Jr. Lessons from caprine and ovine retrovirus infections. Rheum Dis Clin North Am. 1991. 17:5–23.

6). Haase AT. Pathogenesis of lentivirus infections. Nature. 1986. 322:130–6.

7). Banks AL., Jacobs CA., Michaels FH., Cheevers WP. Lentivirus infection augments concurrent antigen-induced arthritis. Arthritis Rheum. 1987. 30:1046–53.

8). Crawford TB., Adams DS., Cheevers WP., Cork LC. Chronic arthritis in goats caused by a retrovirus. Science. 1980. 207:997–9.

9). Espinoza LR., Aguilar JL., Berman A., Gutierrez F., Vasey FB., Germain BF. Rheumatic manifestations associated with human immunodeficiency virus infection. Arthritis Rheum. 1989. 32:1615–22.

10). Davis P., Stein M., Latif A., Emmanuel J. Acute arthritis in Zimbabwean patients: possible relationship to human immunodeficiency virus infection. J Rheumatol. 1989. 16:346–8.

11). Van der Linden S., Valkenburg HA., Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984. 27:361–8.

Fig. 1.

Computed tomography scan shows erosions in both sacroiliac joints.

Fig. 2.

Technetium-99m bone scan shows increased uptakes in bilateral sacroiliac joints, the left wrist, and left knee joint.

TOOLS

Similar articles