Multiple sclerosis in a patient with Takayasu's Arteritis: A case report

被引：0

作者：

Emam, Mohammad Mehdi ^{[1
]}

Abiyarghamsari, Mahdiye ^{[2
]}

Kazempour, Muhanna ^{[1
]}

Haghighi-Morad, Maryam ^{[3
]}

Farsad, Farane ^{[1
]}

机构：

[1] Shahid Beheshti Univ Med Sci, Loghman Hakim Hosp, Dept Rheumatol, Tehran 1333625445, Iran

[2] Shahid Beheshti Univ Med Sci, Fac Pharm, Dept Clin Pharm, Tehran, Iran

[3] Shahid Beheshti Univ Med Sci, Loghman Hakim Hosp, Dept Radiol, Tehran, Iran

来源：

CASPIAN JOURNAL OF INTERNAL MEDICINE | 2024年 / 15卷 / 04期

关键词：

Takayasu; Arteritis; Multiple sclerosis; Vision loss; Neurologic manifestations; EPIDEMIOLOGY; PART;

D O I：

10.22088/cjim.15.4.729

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Multiple sclerosis (MS) and Takayasu's arteritis (TAK) are two autoimmune diseases that affect the Central nervous system (CNS), but the relationship between them has not been established. Case Presentation: Here we report the emergence of MS during treatment. Takayasu's arteritis in a 24-year-old Iranian woman with a severe presentation. She was treated aggressively with IV methylprednisolone 1 g/day for 3 days and continued with oral prednisolone, also IV cyclophosphamide monthly. After 2 months, loss of vision led to a diagnosis of Optic neuritis (ON) caused by concomitant MS. Conclusion: Differentiating CNS vasculitis associated with Takayasu's arthritis from coexisting MS affecting the CNS is challenging and what is important is to avoid giving a TNF inhibitor.

引用

页码：729 / 734

页数：6

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