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
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
收藏
页码:729 / 734
页数:6
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