Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report
Authors: Zeltina Estere, Meksa Liga, Kadisa Anda, Karelis Guntis, Pastare Daina, Svilpe Sandra, Polunosika Elina, Jaunozolina Liga
Background: The therapy of patients with concomitant multiple sclerosis (MS) and ankylosing spondylitis (AS) is a challenge for clinicians. Secukinumab is effective in the treatment of MS. In the clinical case, we present, substantial clinical and radiological remission in the case of both autoimmune diseases was observed. Case Presentation: A male adult was diagnosed with relapsing-remitting MS. The patient complained of severe thoraco-lumbar pain. Magnetic resonance imaging (MRI) led to a diagnosis of AS. Considering that nonsteroidal anti-inflammatory drugs were ineffective and tumor necrosis factor-α blockers are contraindicated in patients with MS, secukinumab was prescribed. MRI 8 months after initiation of therapy provided clinical stability in consideration of the two autoimmune comorbidities. Conclusion: Secukinumab is an effective therapy for concomitant MS and AS.
Keywords: Multiple sclerosis, ankylosing spondylitis, secukinumab, autoimmune disease, case report.
Authors
Kadisa Anda
Faculty of Medicine and Healthcare, Riga Stradins University, Latvia, Internal Diseases Department, Riga East Univesity Hospital clinic "Gaiļezers", Latvia
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Karelis Guntis
Faculty of Medicine and Healthcare, Riga Stradins University, Latvia, Neurology and Neurosurgery Department, Riga East Univesity Hospital clinic "Gaiļezers", Latvia
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Pastare Daina
Faculty of Medicine and Healthcare, Riga Stradins University, Latvia, Neurology and Neurosurgery Department, Riga East Univesity Hospital clinic "Gaiļezers", Latvia
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Polunosika Elina
Faculty of Medicine and Healthcare, Riga Stradins University, Latvia, Neurology and Neurosurgery Department, Riga East Univesity Hospital clinic "Gaiļezers", Latvia
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Correspondence to:
Department of Neurology, Stradiņs University, Latvia estere.zeltina@inbox.lv
Publication history:
Received 23 Jan 2022
Accepted 03 Aug 2022
Published online 10 Oct 2022
Published in print 16 Oct 2022
Estere Z, Liga M, Anda K, Guntis K, Daina P, Sandra S, Elina P, Liga J. Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. EJMCR. 2022; 6(6): 95-101. doi:
10.24911/ejmcr/173-1642670323
Estere Z, Liga M, Anda K, Guntis K, Daina P, Sandra S, Elina P, Liga J. Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. https://www.ejmcr.com/?mno=10813 [Access: April 29, 2024]. doi:
10.24911/ejmcr/173-1642670323
Estere Z, Liga M, Anda K, Guntis K, Daina P, Sandra S, Elina P, Liga J. Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. EJMCR. 2022; 6(6): 95-101. doi:
10.24911/ejmcr/173-1642670323
Estere Z, Liga M, Anda K, Guntis K, Daina P, Sandra S, Elina P, Liga J. Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. EJMCR. (2022), [cited April 29, 2024]; 6(6): 95-101. doi:
10.24911/ejmcr/173-1642670323
Estere, Z., Liga, . M., Anda, . K., Guntis, . K., Daina, . P., Sandra, . S., Elina, . P. & Liga, . J. (2022) Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. EJMCR, 6 (6), 95-101. doi:
10.24911/ejmcr/173-1642670323
Estere, Zeltina, Meksa Liga, Kadisa Anda, Karelis Guntis, Pastare Daina, Svilpe Sandra, Polunosika Elina, and Jaunozolina Liga. 2022. Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. European Journal of Medical Case Reports, 6 (6), 95-101. doi:
10.24911/ejmcr/173-1642670323
Estere, Zeltina, Meksa Liga, Kadisa Anda, Karelis Guntis, Pastare Daina, Svilpe Sandra, Polunosika Elina, and Jaunozolina Liga. "Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report." European Journal of Medical Case Reports 6 (2022), 95-101. doi:
10.24911/ejmcr/173-1642670323
Estere, Zeltina, Meksa Liga, Kadisa Anda, Karelis Guntis, Pastare Daina, Svilpe Sandra, Polunosika Elina, and Jaunozolina Liga. "Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report." European Journal of Medical Case Reports 6.6 (2022), 95-101. Print. doi:
10.24911/ejmcr/173-1642670323
Estere, Z., Liga, . M., Anda, . K., Guntis, . K., Daina, . P., Sandra, . S., Elina, . P. & Liga, . J. (2022) Concomitant multiple sclerosis and ankylosing spondylitis: a clinical case report. European Journal of Medical Case Reports, 6 (6), 95-101. doi:
10.24911/ejmcr/173-1642670323