Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors

We present a case of interstitial lung disease arising in the course of antisynthetase syndrome (ASSD) in a patient with axial spondyloarthritis (ax-SpA) undergoing tumor necrosis factor-α (TNF-α) inhibitors therapy. Only two cases of ASSD in ax-SpA patients have been described in the literature, a...

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Main Authors: Maria Iacovantuono, Chiara Bonini, Ernesto Di Biase, Vinicio Magliacani, Gian Domenico Sebastiani
Format: Article
Language:English
Published: PAGEPress Publications 2025-02-01
Series:Reumatismo
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Online Access:https://www.reumatismo.org/reuma/article/view/1756
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author Maria Iacovantuono
Chiara Bonini
Ernesto Di Biase
Vinicio Magliacani
Gian Domenico Sebastiani
author_facet Maria Iacovantuono
Chiara Bonini
Ernesto Di Biase
Vinicio Magliacani
Gian Domenico Sebastiani
author_sort Maria Iacovantuono
collection DOAJ
description We present a case of interstitial lung disease arising in the course of antisynthetase syndrome (ASSD) in a patient with axial spondyloarthritis (ax-SpA) undergoing tumor necrosis factor-α (TNF-α) inhibitors therapy. Only two cases of ASSD in ax-SpA patients have been described in the literature, although with a different autoantibody profile. Only in one case, ASSD manifested with lung involvement, without the possible implication of TNF-α inhibitors in the pathogenesis, as it occurred concurrently with spondyloarthritis. Our case is the first to emphasize the coexistence of ASSD with anti-glycyl tRNA synthetase antibodies and ax-SpA, reminding us of the possible, although rare, adverse effects on the lungs with TNF-α inhibitors.
format Article
id doaj-art-ff0e538b3bf44a0e963176755a53816a
institution Kabale University
issn 0048-7449
2240-2683
language English
publishDate 2025-02-01
publisher PAGEPress Publications
record_format Article
series Reumatismo
spelling doaj-art-ff0e538b3bf44a0e963176755a53816a2025-02-11T02:34:56ZengPAGEPress PublicationsReumatismo0048-74492240-26832025-02-0110.4081/reumatismo.2025.1756Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitorsMaria Iacovantuono0https://orcid.org/0009-0002-4963-0663Chiara Bonini1Ernesto Di Biase2Vinicio Magliacani3Gian Domenico Sebastiani4 Rheumatology, Allergology and Clinical Immunology, Department of Systems Medicine, University of Rome “Tor Vergata”; Rheumatology Unit, AO San Camillo-Forlanini, RomeRheumatology, Allergology and Clinical Immunology, Department of Systems Medicine, University of Rome “Tor Vergata”; Rheumatology Unit, AO San Camillo-Forlanini, RomeUnit of Bronchopneumology, AO San Camillo-Forlanini, RomeSTIRS Operative Unit, AO San Camillo- Forlanini, RomeRheumatology Unit, AO San Camillo-Forlanini, Rome We present a case of interstitial lung disease arising in the course of antisynthetase syndrome (ASSD) in a patient with axial spondyloarthritis (ax-SpA) undergoing tumor necrosis factor-α (TNF-α) inhibitors therapy. Only two cases of ASSD in ax-SpA patients have been described in the literature, although with a different autoantibody profile. Only in one case, ASSD manifested with lung involvement, without the possible implication of TNF-α inhibitors in the pathogenesis, as it occurred concurrently with spondyloarthritis. Our case is the first to emphasize the coexistence of ASSD with anti-glycyl tRNA synthetase antibodies and ax-SpA, reminding us of the possible, although rare, adverse effects on the lungs with TNF-α inhibitors. https://www.reumatismo.org/reuma/article/view/1756Antisynthetase syndromeaxial-spondiloarthritisanti TNF-α drugsinterstitial lung disease
spellingShingle Maria Iacovantuono
Chiara Bonini
Ernesto Di Biase
Vinicio Magliacani
Gian Domenico Sebastiani
Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors
Reumatismo
Antisynthetase syndrome
axial-spondiloarthritis
anti TNF-α drugs
interstitial lung disease
title Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors
title_full Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors
title_fullStr Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors
title_full_unstemmed Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors
title_short Antisynthetase syndrome with anti-glycyl tRNA synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor-α inhibitors
title_sort antisynthetase syndrome with anti glycyl trna synthetase antibodies in a patient with axial spondyloarthritis treated with tumor necrosis factor α inhibitors
topic Antisynthetase syndrome
axial-spondiloarthritis
anti TNF-α drugs
interstitial lung disease
url https://www.reumatismo.org/reuma/article/view/1756
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