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Abstract
The coexistence of rheumatoid arthritis (RA) and Takayasu's arteritis (TA) is a rare combination and described only in case reports in the literature. Although concurrent presence of RA and TA has been described only in a few liter-atures to date and the number of reports is increasing, the association between RA and TA remains to be clarified. We present a case of a female patient with both RA and TA, presenting with polyarthritis. We also reviewed the clinical features of the cases with coexistence of RA and TA.
REFERENCES
1. Nakao K, Ikeda M, Kimata S, Niitani H, Niyahara M. Takayasu's arteritis. Clinical report of eighty-four cases and immunological studies of seven cases. Circulation. 1967; 35:1141–55.
2. Turesson C. Extraarticular rheumatoid arthritis. Curr Opin Rheumatol. 2013; 25:360–6.
3. Matsuno H, Yudoh K, Katayama R, Nakazawa F, Uzuki M, Sawai T, et al. The role of TNF-alpha in the pathogenesis of inflammation and joint destruction in rheumatoid arthritis (RA): a study using a human RA/SCID mouse chimera. Rheumatology (Oxford). 2002; 41:329–37.
4. Sandring H, Welin G. Aortic arch syndrome with special reference to rheumatoid arteritis. Acta Med Scand. 1961; 170:1–19.
5. Falicov RE, Cooney DF. Takayasu's arteritis and rheumatoid arthritis; a case report. Arch Intern Med. 1964; 114:594–600.
6. Sketchler JJ, Waxman J. Takayasu's arteritis diagnosed in a patient with longstanding arthralgias and arthritis. South Med J. 1987; 80:516–8.
7. Mimura K, Sueishi K, Tanaka K, Kinjo M. Aneurysm in the sequestrated lung and aortitis associated with the malignant rheumatoid arthritis. Pathol Res Pract. 1989; 185:381–5.
8. Gravallese EM, Corson JM, Coblyn JS, Pinkus GS, Weinblatt ME. Rheumatoid aortitis: a rarely recognized but clinically significant entity. Medicine (Baltimore). 1989; 68:95–106.
9. Townend JN, Emery P, Davies MK, Littler WA. Acute aortitis and aortic incompetence due to systemic rheumatological disorders. Int J Cardiol. 1991; 33:253–8.
10. Nakabayashi K, Nitadori T, Kamiya Y, Nagasawa T. Atypical Takayasu arteritis: late onset and arthritic manifestations: report of two cases. Int J Cardiol. 1998; 66(Suppl 1):S221–7.
11. Jung NY, Jung IH, Sin PJ, Kim JW, Seo JI, Song CH, et al. Rheumatoid arthritis developed after Takayasu's arteritis. The Journal of Wonju College of Medicine. 1999; 12:148–52.
12. Korkmaz C, Zubaroğlu I, Kaya T, Akay OM. Takayasu's arteritis associated with rheumatoid arthritis: a case report and review of the literature. Rheumatology (Oxford). 2001; 40:1420–2.
13. Yokoe I, Haraoka H, Harashima H. A patient with Takayasu's arteritis and rheumatoid arthritis who responded to tacrolimus hydrate. Intern Med. 2007; 46:1873–7.
14. Verweij KE, van Well AM, Vd Sluijs JW, Dees A. Late onset takayasu arteritis and rheumatoid arthritis. Case Rep Med. 2012; 2012; 523218.
15. Park YB, Hong SK, Choi KJ, Sohn DW, Oh BH, Lee MM, et al. Takayasu arteritis in Korea: clinical and angiographic features. Heart Vessels Suppl. 1992; 7:55–9.
Figure 1.
Simple X-ray of right hand in 2007 (A), 2011 (B). Hand X-ray shows narrowing of radio-carpal and carpal bone joint space and irregular bony erosion and sclerosis of carpal bone and distal radius.
Figure 2.
(A) Computed tomography (CT) with enhancement of chest shows known tuberculosis-destroyed lung with acute pneumonic consolidation. (B) Takayasu's arteritis in late stage of disease. Unenhanced CT scan shows extensive calcification composing abdominal aortic lumen. (C) Enhanced CT scan shows stenosis of left common carotid artery.
Figure 3.
Catheter angiography shows infrarenal abdominal aortic stenosis with extensive collateral vessel formation. Although atherosclerosis commonly affects infrarenal abdominal aorta, atherosclerosis usually produces abrupt caliber changes just beyond stenosis sites; the smooth tapered nature of this stenosis favors TA.
Table 1.
Clinical characteristics of our case and previous case reports of coexisting RA and TA
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