Coexistence of five autoimmune diseases: Diagnostic and therapeutic difficulties

Rheumatology International

Volumn 28, Issue 9, 2008, Pages 919-923

  Wielosz, Ewa ^a   Majdan, Maria ^a   Żychowska, Iwona ^a   Jeleniewicz, Radosław ^a  

^a MEDICAL UNIVERSITY OF LUBLIN   (Poland)

Author keywords

Mixed connective tissue disease; Overlap syndrome; Primary biliary cirrhosis; Systemic sclerosis

Indexed keywords

ANTICOAGULANT AGENT; ANTINUCLEAR ANTIBODY; AZATHIOPRINE; CALCIUM CHANNEL BLOCKING AGENT; CARDIOLIPIN ANTIBODY; CYCLOPHOSPHAMIDE; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; GLUCOCORTICOID; METHOTREXATE; PREDNISONE;

ADULT; ANTIBODY BLOOD LEVEL; ANTIPHOSPHOLIPID SYNDROME; ARTHRALGIA; ARTHRITIS; ARTICLE; AUTOIMMUNE DISEASE; BONE MARROW BIOPSY; CASE REPORT; COMORBIDITY; DISCOID LUPUS ERYTHEMATOSUS; DRUG DOSE REDUCTION; DRUG WITHDRAWAL; FEMALE; HOSPITAL ADMISSION; HUMAN; IMMUNOSUPPRESSIVE TREATMENT; LEUKOPENIA; MIXED CONNECTIVE TISSUE DISEASE; MULTIPLE CYCLE TREATMENT; PAIN; PANCYTOPENIA; PHYSICAL EXAMINATION; PREMATURE LABOR; PRIMARY BILIARY CIRRHOSIS; PRIORITY JOURNAL; PSORIASIS; RAYNAUD PHENOMENON; RHEUMATOID ARTHRITIS; SJOEGREN SYNDROME; SYSTEMIC LUPUS ERYTHEMATOSUS; SYSTEMIC SCLEROSIS; TREATMENT DURATION;

EID: 49949152462     PISSN: 01728172     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00296-008-0544-5     Document Type: Article

References (17)

1. Jabłońska S, Błaszczyk M (1999) Scleroderma overlap syndromes. Adv Exp Med Biol 455:85-92
2. Hirakata M, Akizuki M, Miyachi K, Matsushima H, Okano T, Homma M (1988) Coexistence of CREST syndrome and primary biliary cirrhosis. J Rheumatol 15:1166-1170
3. Maddison PJ (2000) Mixed connective tissue disease: overlap syndromes. Bailliere's Best Pract Res Clin Rheumatol 14:111-124
4. Sharp GC (1974) Mixed connective tissue disease. Bull Rheum Dis 25:828-831
5. Sullivan WD, Hurst DJ, Harmon CE, Esther JH, Agia GA, Maltby JD, Lillard SB, Held CN, Wolfe JF, Sunderrajan EV (1984) A prospective evaluation emphasizing pulmonary involvement in patients with mixed connective tissue disease. Medicine 63:92-107
6. Alarcon-Segovia D, Villareal M (1987) Classification and diagnostic criteria for mixed connective tissue disease. In: Kasukawa R, Sharp GC (eds) Mixed connective tissue disease and anti-nuclear antibodies. Excerpta Medica, Amsterdam, pp 33-40
7. Zhang L, Visscher D, Rihal C, Aubry MC (2007) Pulmonary veno-occlusive disease as primary cause of pulmonary hypertension in a patient with mixed connective tissue disease. Rheumatol Int 27:1163-1165
8. Celikbilek M, Elsurer R, Afsar B, Ozdemir HB, Sezer S, Ozdemir NF (2007) Mixed connective tissue disease: a case with scleroderma renal crisis following abortion. Clin Rheumatol 26:1545-1547
9. Ramos-Casals M, Brito-Zeron P, Font J (2007) The overlap of Sjogren's syndrome with other systemic autoimmune diseases. Semin Arthritis Rheum 36:246-255
10. Aringer M, Smolen JS (2007) Mixed connective tissue disease: what is behind the curtain? Best Pract Res Clin Rheumatol 21:1037-1049
11. Marie I, Levesque H, Tranvouez JL, Francois A, Riachi G, Cailleux N, Courtois H (2001) Autoimmune hepatitis and systemic sclerosis: a new overlap syndrome? Rheumatol 40:102-106
12. Wayaku T, Hasegawa M, Kaji K, Kondo M, Saito Y, Orito H, Horikawa M, Matsushita T, Komura K, Hayakawa I, Hamaguchi Y, Ogawa F, Fujimoto M, Takehara K, Sato S (2007) Antigen specificity of antihistone antibodies in connective tissue disease patients with anti-U1RNP antibodies. Rheumatol Int 28:113-119
13. Clarke AK, Galbraith RM, Hamilton EB, Williams R (1978) Rheumatic disorders in primary biliary cirrhosis. Ann Rheum Dis 37:42-47
14. Miyachi K, Hankins R, Ihara M, Miyamoto A, Okano T, Iwai M, Mikoshiba K, Fritzler MJ (2006) A case of limited cutaneous systemic sclerosis developing anti-mitochondrial antibody positive primary biliary cirrhosis after acute myocardial infraction. Clin Rheumatol 25:1165-1170
15. Berthelot C, Nash J, Duvic M (2007) Coexistent psoriasis and lupus erythematosus treated with alefacept. Am J Clin Dermatol 8:47-50
16. Zandman-Goddard G, Tweezer-Zaks N, Shalev T, Levy Y, Ehrenfeld M, Langevitz P (2007) A novel overlap syndrome. Systemic sclerosis associated with antiphospholipid syndrome-a case series. Ann N Y Acad Sci 1108:497-504
17. Turkcapar N, Olmez U, Ozer D, Duzgun N, Duman M (2006) A case of overlap syndrome with rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis and secondary Sjogren's syndrome. Rheumatol Int 29:841-845