Case Report

The Journal of the Korean Rheumatism Association 2009; 16(1): 48-53

Published online March 30, 2009

© Korean College of Rheumatology

강직성척추염에서 TNF 차단제와 포도막염

김희선1ㆍ김태종2ㆍ배상철1ㆍ유대현1ㆍ전재범1ㆍ김태환1

한양대학교 의과대학 내과학교실 류마티스병원 류마티스내과1, 전남대학교병원 류마티스내과2

TNF Inhibitors and Uveitis in Ankylosing Spondylitis

Hee-Sun Kim1, Tae-Jong Kim2, Sang-Cheol Bae1, Dae-Hyun Yoo1, Jae-Bum Jun1, Tae-Hwan Kim1

Division of Rheumatology, Department of Internal Medicine, The Hospital for Rheumatic Diseases, Hanyang University College of Medicine1, Seoul, Department of Rheumatology, Chonnam National University Hospital2, Gwangju, Korea

Correspondence to : Tae-Hwan Kim

Abstract

Uveitis is the most common extra-articular manifestation of ankylosing spondylitis, and this occurs in 30∼50% of the patients with ankylosing spondylitis. The main symptoms of ankylosing spondylitis are usually highly responsive to TNF inhibitors, but the effects of TNF inhibitors on uveitis are inconsistent. We report here on sixteen cases of new onset uveitis during etanercept therapy in patients with ankylosing spondylitis and they had no histories of uveitis. The symptoms of ankylosing spondyltiis, other than the uveitis, were well controlled during etanercept therapy. Six patients had histories of infliximab therapy before undergoing etanercept therapy, and uveitis did not develop during this infliximab therapy. Uveitis can develop during the course of ankylosing spondylitis, yet there is a possibility of a temporal relationship between etanercept therapy and uveitis.

Keywords Ankylosing spondylitis, TNF inhibitor, Uveitis

Article

Case Report

The Journal of the Korean Rheumatism Association 2009; 16(1): 48-53

Published online March 30, 2009

Copyright © Korean College of Rheumatology.

강직성척추염에서 TNF 차단제와 포도막염

김희선1ㆍ김태종2ㆍ배상철1ㆍ유대현1ㆍ전재범1ㆍ김태환1

한양대학교 의과대학 내과학교실 류마티스병원 류마티스내과1, 전남대학교병원 류마티스내과2

TNF Inhibitors and Uveitis in Ankylosing Spondylitis

Hee-Sun Kim1, Tae-Jong Kim2, Sang-Cheol Bae1, Dae-Hyun Yoo1, Jae-Bum Jun1, Tae-Hwan Kim1

Division of Rheumatology, Department of Internal Medicine, The Hospital for Rheumatic Diseases, Hanyang University College of Medicine1, Seoul, Department of Rheumatology, Chonnam National University Hospital2, Gwangju, Korea

Correspondence to:Tae-Hwan Kim

Abstract

Uveitis is the most common extra-articular manifestation of ankylosing spondylitis, and this occurs in 30∼50% of the patients with ankylosing spondylitis. The main symptoms of ankylosing spondylitis are usually highly responsive to TNF inhibitors, but the effects of TNF inhibitors on uveitis are inconsistent. We report here on sixteen cases of new onset uveitis during etanercept therapy in patients with ankylosing spondylitis and they had no histories of uveitis. The symptoms of ankylosing spondyltiis, other than the uveitis, were well controlled during etanercept therapy. Six patients had histories of infliximab therapy before undergoing etanercept therapy, and uveitis did not develop during this infliximab therapy. Uveitis can develop during the course of ankylosing spondylitis, yet there is a possibility of a temporal relationship between etanercept therapy and uveitis.

Keywords: Ankylosing spondylitis, TNF inhibitor, Uveitis

JRD
Oct 01, 2024 Vol.31 No.4, pp. 191~263
COVER PICTURE
Ancestry-driven pathways for SLE-risk SNP-associated genes. The ancestry-driven key signaling pathways in Asians, Europeans, and African Americans were analyzed by enrichr (https://maayanlab.cloud/Enrichr/#libraries) using non-HLA SNP-associated genes. SLE: systemic lupus erythematosus, SNP: single-nucleotide polymorphism, JAK–STAT: janus kinase–signal transducers and activators of transcription, IFN: interferon gamma. (J Rheum Dis 2024;31:200-211)

Stats or Metrics

Share this article on

  • line

Related articles in JRD

Journal of Rheumatic Diseases

pISSN 2093-940X
eISSN 2233-4718
qr-code Download