Case Series
Concurrence of Rheumatoid Arthritis and Ankylosing Spondylitis: Analysis of Seven Cases and Literature Review
Table 1
Literature review on coexistence of rheumatoid arthritis and ankylosing spondylitis.
| Author | No. | Sex | Age (years) | 1st symptom | Onset (years) | 1st disease | Duration (years) | Nodules | RF | Ac. CCP | HLA B-27 | Lumbar pain | SI | Sind | Eros | Uveitis | Extra-art involv |
| Wilkinson and Bywaters | 1 | M | 55 | Arthritis | 22 | RA | 33 | + | + | NA | NA | + | + | NS | + | + | 0 | Martel and Duff | 2 | M | 47 | Arthritis | 18 | RA | 29 | 0 | + | NA | NA | + | + | 0 | + | 0 | 0 | | 3 | F | 32 | Arthritis | 30 | RA | 2 | + | + | NA | NA | + | + | + | + | 0 | 0 | | 4 | F | 27 | Arthritis | 15 | RA | 12 | + | + | NA | NA | 0 | + | + | + | 0 | 0 | | 5 | F | 42 | Arthritis | 24 | RA | 18 | + | + | NA | NA | 0 | + | NS | + | 0 | + | | 6 | M | 52 | Arthritis | 21 | RA | 31 | + | + | NA | NA | 0 | + | + | + | 0 | + | | 7 | M | 37 | Arthritis | 29 | RA | 8 | 0 | 0 | NA | NA | + | + | NS | + | + | + | | 8 | M | 54 | Arthritis | 43 | RA | 9 | + | + | NA | NA | + | 0 | NS | + | 0 | 0 | London and Bland | 9 | M | 26 | Arthritis | 14 | RA | 12 | + | NS | NA | NA | + | + | NS | NS | 0 | 0 | Rosenthal et al. [8] | 10 | M | 73 | Uveitis | 22 | AE | 51 | + | + | NA | NA | + | + | + | NS | + | + | Husskisson et al. [37] | 11 | M | 80 | L. pain | 25 | AE | 55 | + | + | NA | NA | + | + | + | + | + | 0 | Valkenburgh et al. [9] | 12 | F | 45 | Arthritis | 36 | RA | 9 | + | + | NA | NA | + | + | NS | + | + | + | Luthrah et al. [10] | 13 | M | 59 | L. pain | 34 | AE | 25 | + | + | NA | + | + | + | + | + | 0 | 0 | | 14 | M | 65 | L. pain | 48 | AE | 17 | + | + | NA | + | + | + | + | + | 0 | 0 | Querol et al. [11] | 15 | M | 40 | L. pain | 18 | AE | 22 | 0 | 0 | NA | + | + | + | 0 | 0 | 0 | 0 | | 16 | F | 46 | L. pain | 27 | AE | 19 | 0 | + | NA | + | + | + | 0 | + | 0 | 0 | | 17 | M | 51 | L. pain | 25 | AE | 26 | + | 0 | NA | + | + | + | + | 0 | 0 | 0 | | 18 | M | 50 | L. pain | 42 | AE | 8 | 0 | 0 | NA | + | + | + | + | 0 | 0 | 0 | | 19 | M | 53 | L. pain | 41 | AE | 12 | + | + | NA | + | + | + | + | + | 0 | 0 | | 20 | M | 17 | L. pain | 15 | AE | 2 | 0 | + | NA | + | 0 | + | 0 | + | 0 | 0 | | 21 | M | 28 | L. pain | 15 | AE | 13 | 0 | 0 | NA | + | + | + | 0 | 0 | 0 | 0 | Fallet et al. [35] | 22 | M | 64 | L. pain | 30 | AE | 34 | + | + | NA | + | + | + | + | + | 0 | 0 | | 23 | M | 68 | Arthritis | 29 | RA | 39 | 0 | + | NA | + | NS | + | NS | + | + | 0 | | 24 | F | 68 | Arthritis | 65 | RA | 3 | + | + | NA | + | 0 | + | NS | 0 | 0 | 0 | | 25 | M | 54 | Arthritis | 40 | RA | 14 | + | + | NA | + | + | + | NS | + | 0 | 0 | | 26 | M | 67 | Arthritis | 57 | RA | 10 | 0 | + | NA | 0 | + | + | + | + | 0 | 0 | | 27 | F | 75 | Arthritis | 63 | RA | 12 | 0 | + | NA | + | + | + | + | + | 0 | 0 | | 28 | F | 58 | Uveitis | 42 | RA | 16 | 0 | + | NA | + | 0 | + | NS | + | + | 0 | | 29 | M | 68 | L. pain | 29 | AE | 39 | 0 | + | NA | + | + | + | NS | + | 0 | 0 | | 30 | M | 44 | Myalgias | 36 | AE | 8 | + | + | NA | + | + | + | NS | + | 0 | 0 | Good et al. [12] | 31 | M | NS | L. pain | 29 | AE | NS | 0 | + | NA | + | + | + | + | + | 0 | 0 | | 32 | M | NS | L. pain | 20 | AE | NS | 0 | + | NA | + | + | + | + | + | 0 | 0 | | 33 | M | NS | L. pain | 34 | AE | NS | 0 | + | NA | + | + | + | 0 | + | 0 | 0 | Clayman and Reinertsen | 34 | M | 48 | L. pain | 21 | AE | 27 | + | + | NA | + | + | + | + | 0 | 0 | 0 | Espinoza et al. [14] | 35 | M | 53 | L. pain | 47 | AE | 6 | + | + | NA | + | + | + | NS | + | 0 | 0 | Major et al. [15] | 36 | M | 64 | L. pain | 28 | AE | 36 | + | + | NA | + | + | + | + | + | 0 | 0 | | 37 | M | 61 | L. pain | NS | AE | NS | 0 | + | NA | + | + | + | + | + | 0 | 0 | Lemmer and Irby | 38 | M | 51 | L. pain | 26 | AE | 25 | + | + | NA | + | + | + | + | + | 0 | + | Alexander et al. [17] | 39 | M | 55 | Arthritis | 32 | RA | 23 | + | + | NA | + | + | + | NS | + | 0 | + | | 40 | M | 61 | Arthritis | 54 | RA | 7 | + | + | NA | + | 0 | + | + | + | 0 | + | | 41 | M | NS | NS | NS | NS | NS | + | + | NA | 0 | NS | + | NS | 0 | 0 | 0 | | 42 | M | NS | NS | NS | NS | NS | + | + | NA | 0 | NS | + | NS | + | 0 | 0 | | 43 | M | NS | NS | NS | NS | NS | + | + | NA | + | NS | + | NS | + | 0 | 0 | Lavery et al. [18] | 44 | M | 60 | L. pain | 18 | AE | 42 | + | + | NA | + | + | + | NS | + | + | + | Alarcón Segovia and Martínez-Cordero | 45 | M | 70 | L. pain | NS | NS | NS | + | + | NA | + | + | + | + | + | 0 | 0 | Serrano et al. [20] | 46 | M | 35 | NS | 22 | RA | 13 | NS | + | NA | + | + | + | NS | NS | 0 | + | Fallet et al. [21] | 47 | M | 52 | Arthritis | 25 | RA | 27 | 0 | + | NA | + | + | + | + | + | + | + | | 48 | M | 60 | L. pain | 48 | AE | 12 | + | + | NA | + | + | + | + | + | 0 | 0 | | 49 | M | 61 | Arthritis | 40 | NS | 11 | 0 | + | NA | + | 0 | + | 0 | + | 0 | 0 | | 50 | M | 56 | L. pain | 22 | AE | 34 | 0 | + | NA | + | + | + | + | + | + | + | | 51 | M | 66 | Arthritis | 61 | RA | 5 | + | + | NA | + | + | + | 0 | + | 0 | 0 | | 52 | M | 71 | L. pain | 21 | AE | 50 | + | + | NA | + | + | + | + | + | 0 | 0 | | 53 | M | 49 | Arthritis | 35 | RA | 14 | 0 | + | NA | + | + | + | 0 | + | 0 | 0 | | 54 | F | 83 | Arthritis | 69 | RA | 14 | 0 | + | NA | + | + | + | + | + | 0 | 0 | Helfgott et al. [22] | 55 | M | 77 | L. pain | 39 | AE | 38 | + | + | NA | + | + | + | + | + | 0 | 0 | Sattar et al. [23] | 56 | M | 35 | L. pain | 25 | AE | 10 | 0 | + | NA | 0 | + | + | + | + | + | + | Martínez-Cordero et al. [24] | 57 | M | 38 | Arthritis | 28 | RA | 10 | NS | + | NA | + | + | + | + | + | 0 | 0 | Ferreiro Seoane et al. [25] | 58 | M | 44 | L. pain | 31 | AE | 13 | + | + | NA | + | + | + | NS | + | 0 | + | Toussirot and Acquaviva | 59 | M | 48 | Arthritis | 22 | RA | 26 | + | + | NA | 0 | 0 | + | 0 | + | 0 | 0 | | 60 | M | 77 | Arthritis | 35 | RA | 42 | 0 | + | NA | 0 | + | + | + | + | 0 | 0 | | 61 | F | 27 | Arthritis | 19 | RA | 8 | 0 | + | NA | + | + | + | 0 | + | 0 | 0 | Genc et al. [27] | 62 | F | 62 | Arthritis | 52 | RA | 10 | NS | 0 | NA | + | + | + | + | + | 0 | + | Guo et al. [28] | 63 | F | 30 | L. pain | 23 | AE | 7 | 0 | + | + | + | + | + | NS | + | 0 | 0 | Baksay et al. [29] | 64 | F | 57 | L. pain | 25 | AE | 32 | NS | + | + | + | + | + | + | + | 0 | 0 | Feijo et al. (2011) | 65 | F | 65 | L. pain | 64 | AE | 1 | 0 | + | + | + | + | + | + | + | 0 | 0 | Aghdashi et al. [31] | 66 | F | 70 | Arthritis | 58 | RA | 12 | NS | + | + | + | 0 | + | + | + | 0 | 0 | Dundar et al. [32] | 67 | M | 63 | L. pain | 51 | RA | 12 | NS | + | + | NS | + | + | NS | + | 0 | 0 | Koca et al. [38] | 68 | F | 38 | L. pain | 38 | RA | 1 | 0 | + | + | 0 | + | + | 0 | 0 | 0 | 0 | Barczynska et al. [33] | 69 | F | 55 | Arthritis | 35 | RA | 20 | + | + | + | + | + | + | + | + | 0 | 0 | | 70 | M | 56 | L. pain | 34 | AE | 22 | NS | + | 0 | + | + | + | + | + | 0 | 0 | | 71 | M | 65 | NS | NS | NS | NS | NS | + | 0 | + | + | + | + | + | 0 | 0 | Baccouche et al. [34] | 72 | F | 21 | L. pain | 20 | AE | 1 | 0 | + | + | + | + | + | + | + | 0 | 0 | Sargin and Gurer | 73 | F | 47 | L. pain | 45 | RA | 2 | 0 | NS | NS | NS | + | + | NS | NS | 0 | 0 | Haridas and Kiran | 74 | F | 32 | Arthritis | 32 | AR | 1 | 0 | + | + | + | + | + | NS | NS | 0 | 0 | Flores-Robles et al. (2020) | 75 | M | 55 | L. pain | 41 | AE | 14 | 0 | + | + | + | + | + | + | 0 | 0 | 0 | | 76 | F | 43 | Arthritis | 35 | RA | 8 | 0 | + | + | + | + | + | 0 | + | 0 | 0 | | 77 | F | 64 | Arthritis | 51 | RA | 13 | 0 | + | + | + | 0 | + | 0 | 0 | 0 | 0 | | 78 | M | 57 | Arthritis | 28 | RA | 29 | + | + | + | + | 0 | + | 0 | + | 0 | 0 | | 79 | M | 64 | L. pain | 49 | AE | 15 | 0 | + | + | + | + | + | + | 0 | 0 | 0 | | 80 | M | 63 | Arthritis | 47 | RA | 16 | 0 | + | + | + | + | + | + | + | 0 | 0 | | 81 | F | 75 | Arthritis | 70 | RA | 5 | 0 | + | + | + | + | + | + | + | 0 | 0 |
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Ac. CCP: citrullinated peptide antibodies; AE: ankylosing spondylitis; Eros: radiographic erosions on hands and/or feet; extra-art involv: extra-articular involvement; F: female; L. pain: lumbar pain; M: male; NA: not applicable; NS: not specified by the author; RA: rheumatoid arthritis; RF: rheumatoid factor; SI: radiological sacroiliitis; Sind: spine syndesmophytes; sign +: existence/positive; sign 0: absence/negative.
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