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Acute Bilateral Optic Neuritis in Active Ankylosing Spondylitis

Acute Bilateral Optic Neuritis in Active Ankylosing Spondylitis
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摘要 Ankylosing spondylitis (AS), which primarily affects the sacroiliac joints, spine, and enthuses, is a chronic inflammatory rheumatic disorder. Acute anterior uveitis is the most common ophthalmologic involvement, whereas optic neuritis (ON) rarely coexists with AS.r^j ON is an immune-mediated inflammation of the optic nerve, which could be the initiated symptom of multiple sclerosis (MS) or neuromyelitis optica (NMO). Bilateral simultaneous ON with long enhanced optic nerve lesions in magnetic resonance imaging (MRI) was considered as features of NMO spectrum disorders (NMOSDs). However, comprehensive review of the current literature showed little evidence of AS as an accompanied autoimmune condition in NMO,121 and the specific biomarker aquaporin-4 antibody (AQP4-Ab) was negative in our patient. In the current report, we present the first case of ON with active AS in a Chinese male patient. The association between the two diseases remains to be evaluated. Ankylosing spondylitis (AS), which primarily affects the sacroiliac joints, spine, and enthuses, is a chronic inflammatory rheumatic disorder. Acute anterior uveitis is the most common ophthalmologic involvement, whereas optic neuritis (ON) rarely coexists with AS.r^j ON is an immune-mediated inflammation of the optic nerve, which could be the initiated symptom of multiple sclerosis (MS) or neuromyelitis optica (NMO). Bilateral simultaneous ON with long enhanced optic nerve lesions in magnetic resonance imaging (MRI) was considered as features of NMO spectrum disorders (NMOSDs). However, comprehensive review of the current literature showed little evidence of AS as an accompanied autoimmune condition in NMO,121 and the specific biomarker aquaporin-4 antibody (AQP4-Ab) was negative in our patient. In the current report, we present the first case of ON with active AS in a Chinese male patient. The association between the two diseases remains to be evaluated.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第20期2821-2822,共2页 中华医学杂志(英文版)
关键词 Ankylosing Spondylitis AQUAPORIN-4 Multiple Sclerosis Neuromyelitis Optica Optic Neuritis Ankylosing Spondylitis Aquaporin-4 Multiple Sclerosis Neuromyelitis Optica Optic Neuritis
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参考文献5

  • 1Braun J, Sieper J. Ankylosing spondylitis. Lancet 2007:369:1379-90.
  • 2Iyer A, Elsone L, Appleton R, Jacob A. A review of the current literature and a guide to the early diagnosis of autoimmune disorders associated with neuromyelitis optica. Autoimmunity 2014;47:154-61.
  • 3Lourbopoulos A, loannidis P, Boura E, Antoniadis D, Karacostas D, Grigoriadis N. Coexistence of multiple sclerosis and ankylosing spondylitis: Report of two cases. Eur Neurol 2013;70:149-54.
  • 4Winthrop KL, Chen L, Fraunfelder FW, Ku JH, Varley CD, Sublet E, et al. Initiation of anti-TNF therapy and the risk of optic neuritis: From the safety assessment of biologic ThERapy (SABER) Study. Am J Ophthalmol 2013; 155:183-9.e I.
  • 5Wingerchuk DM, Banwell B, Bennett JL, Cabre P, Carroll W, Chitnis T, et al. International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology 2015;85:177-89.

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