[Triple association: late-onset seronegative spondyloarthropathy, Paget's disease and giant cell arteritis]

The diagnosis of several rheumatic diseases in one-self patient is frequent in practice. However, some associations are exceptional and their recognition is important for a correct treatment and prognostic. We present the case of an old patient in who we diagnose a late onset seronegative spondylarthropathy and a Paget's disease and that later it developed a giant cells arteritis. The association of ankylosing spondylitis with Paget's disease or with polymyalgia rheumatica, it has already been described in the literature, but our patient's triple association we have not found it.