Vol.22 No.5

Case Report

Aortitis in a patient with psoriatic arthritis

Authors

Abdurrahman Tufan1 , M. Engin Tezcan1 , Arif Kaya1 , R?dvan Mercan1 , Yusuf Oner2 , Mehmet Akif Ozturk1

  • Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Gazi University, 8.Kat, Besevler, 06500, Ankara, Turkey
  • Department of Radiology, Faculty of Medicine, Gazi University, Besevler, Ankara, Turkey
Received:

29 September 2011

Accepted:

15 November 2011

Published online:

6 December 2011

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Abstract

Aortitis, inflammation of the aortic tissue, is most commonly caused by vasculitic rheumatic conditions, and less frequently infectious organisms. Involvement of the aorta is well defined in HLA-B27-associated spondyloarthropathies such as long-standing ankylosing spondylitis and Reiter’s syndrome. However, unlike other spondyloarthropathies, aortic involvement or true aortitis is not a feature of psoriatic arthritis and has been reported in only a few cases. Herein, we report the case of a 22 year-old woman with psoriatic arthritis who developed descending aortitis while using tumor necrosis factor inhibitors.

Key words

Psoriasis - Aortitis - Spondyloarthropathies - Anti-tumor necrosis alpha treatment