Document Detail


HLA-B27 associated spondyloarthropathy, vasculitis, and amyloid enteropathy: response to infliximab.
MedLine Citation:
PMID:  15693105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 2000 we described a patient with HLA-B27 associated spondyloarthropathy (SpA) and severe ascending aortitis requiring surgical intervention. Despite continued immunosuppressive therapy she developed narrowing of the distal part of the right subclavian artery and proximal axillary artery secondary to active vasculitis. In addition, biopsy-proven amyloid gastroenteropathy developed causing persistent diarrhea and iron deficiency anemia. Treatment with infliximab resulted in resolution of joint symptoms and rapid improvement in laboratory markers of inflammation. Diarrhea settled more gradually, such that her bowel habit had normalized 16 months after therapy commenced.
Authors:
Lisa K Stamp; John L O'Donnell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  32     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-04     Completed Date:  2005-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  382-5     Citation Subset:  IM    
Affiliation:
Department of Medicine and Health Sciences, Christchurch School of Medicine, Otago University, Christchurch, New Zealand. lisa.stamp@cdhb.govt.nz
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MeSH Terms
Descriptor/Qualifier:
Adult
Amyloidosis / drug therapy,  immunology*,  pathology
Antibodies, Monoclonal / therapeutic use*
Antirheumatic Agents / therapeutic use*
Aortitis / drug therapy,  immunology*,  pathology
Drug Therapy, Combination
Female
Gastroenteritis / drug therapy,  immunology*,  pathology
HLA-B27 Antigen / immunology*
Humans
Methotrexate / therapeutic use
Prednisone / therapeutic use
Spondylarthropathies / drug therapy,  immunology*,  pathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Antirheumatic Agents; 0/HLA-B27 Antigen; 0/infliximab; 53-03-2/Prednisone; 59-05-2/Methotrexate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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