2005
DOI: 10.1080/03009740510026346
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Severe ankylosing spondylitis and diffuse systemic sclerosis: case report of a genetic trap

Abstract: A rare association of ankylosing spondylitis (AS) and systemic sclerosis (SSc) is reported in a Brazilian Mestizo patient presenting a human leucocyte antigen (HLA) genotype that included HLA SSc-susceptibility genes previously reported in different ethnic groups and HLA-B27 associated with AS. The underlying genetic background supporting the full expression of both SSc- and AS-susceptibility alleles and the pertinent literature are discussed.

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Cited by 16 publications
(12 citation statements)
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“…(1114, 21, 25, 26) We examined associations with anti-PAD4 antibodies in RA and found that anti-PAD4 positivity was associated with disease duration and anti-CCP positivity. There was a non-significant trend toward lower prevalence of smoking among RA probands with anti-PAD4 antibodies compared to those without anti-PAD4 antibodies and no association with shared epitope alleles.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…(1114, 21, 25, 26) We examined associations with anti-PAD4 antibodies in RA and found that anti-PAD4 positivity was associated with disease duration and anti-CCP positivity. There was a non-significant trend toward lower prevalence of smoking among RA probands with anti-PAD4 antibodies compared to those without anti-PAD4 antibodies and no association with shared epitope alleles.…”
Section: Discussionmentioning
confidence: 99%
“…(810) Several studies have described the presence of autoantibodies directed against peptidyl arginine deiminase type 4 (PAD4) in a subset of patients with RA. (1114) In established RA, anti-PAD4 antibodies have been associated with anti-cyclic citrullinated peptide (CCP) antibodies and more severe disease. (11–13)…”
Section: Introductionmentioning
confidence: 99%
“…Among these proteins, only one, PAD4, the enzyme that converts arginine into citrulline, was already known to be a target for RA autoantibodies [4-8]. Autoantibodies to PAD4 are more frequent in established than in early RA.…”
Section: Discussionmentioning
confidence: 99%
“…about 22% of SSc patients [5]. However, in some cases there are no joint symptoms of SSc, but there are manifestations of AS [6][7][8][9][10]. Although the two diseases manifested independently in our patient, there seem to be common features among patients with both diseases.…”
Section: Figurementioning
confidence: 71%