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[Ankylosing panarthritis].

J C Rénier, M Audran, P Seret

    Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
    |March 1, 1987
    PubMed
    Summary
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    Sheathing Panarthritis (S.P.) presents as a distinct condition, potentially a severe form of rheumatoid arthritis or ankylosing spondylitis. An "ankylosing factor X" may drive its unique sclerotic progression.

    Area of Science:

    • Rheumatology
    • Immunogenetics
    • Clinical Medicine

    Background:

    • Sheathing Panarthritis (S.P.) is a rare rheumatological condition with debated nosological classification.
    • Previous classifications have considered S.P. as autonomous, rheumatoid polyarthritis (P.R.), or ankylosing spondylarthritis (AS).

    Observation:

    • Four cases of S.P. are presented: two females with complete articular ankylosis and positive rheumatoid serology, and two males with lower extremity and spinal ankylosis.
    • HLA system studies revealed B27 in 6/10 cases and A2 in 5/8 cases; DR 1 was noted in one study.
    • Clinical presentation varied, with complete ankylosis in females and predominant lower extremity/spinal involvement in males.

    Findings:

    • The authors propose that S.P. cannot be definitively classified solely as P.R. or AS.

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  • A novel concept of an 'ankylosing factor X' is introduced, hypothesized to exacerbate sclerotic potential in P.R. and AS.
  • This 'factor X' is believed to transform P.R. and AS into the distinct clinical entity of S.P.

    • Implications:

    • This research suggests S.P. may represent a unique pathological process rather than a variant of existing spondyloarthropathies.
    • The identification of 'factor X' could open new avenues for understanding and potentially treating S.P.
    • Further research into the immunogenetic and pathobiological underpinnings of S.P. is warranted.