Psoriatic arthritis or overlap syndrome

Ophthalmologica. 1997;211(4):266-7. doi: 10.1159/000310804.

Abstract

In this work we describe a case of papillophlebitis type II according to Hayreh in a young woman affected by psoriatic arthritis. On the basis of an analysis of the patient's HLA system--B7, DR7 (characteristics of psoriatic arthritis) and B51 (present in 81% of patients affected by Behçet's syndrome)--we hypothesize that this may be a case of an 'overlap syndrome'. In rheumatology, this term usually refers to the presence in a single patient of characteristic features of two or more diseases. In fact, papillophlebitis is a complication which has never been described in psoriatic arthritis, while, in Behçet's syndrome, retinal vasculitis is well known.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Arthritis, Psoriatic / complications*
  • Arthritis, Psoriatic / drug therapy
  • Arthritis, Psoriatic / immunology
  • Female
  • Gold / therapeutic use
  • HLA-B7 Antigen / analysis
  • HLA-DR7 Antigen / analysis
  • Humans
  • Indomethacin / therapeutic use
  • Prednisolone / therapeutic use
  • Retinal Vessels*
  • Syndrome
  • Vasculitis / complications*
  • Vasculitis / drug therapy
  • Vasculitis / immunology

Substances

  • Anti-Inflammatory Agents
  • Anti-Inflammatory Agents, Non-Steroidal
  • HLA-B7 Antigen
  • HLA-DR7 Antigen
  • Gold
  • Prednisolone
  • Indomethacin