Skip to main content

Advertisement

Log in

Rheumatoid arthritis in patient with homozygous haemoglobin C disease

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

To date, few cases of hemoglobinopathies in patients with rheumatoid arthritis (RA) have been reported (Marino and Mcdonald in J Rheumatol 17:970–972, 1990; Gladman and Bombardier in Arthritis Rheum 30:1065–1068, 1987; Michel et al. in Semin Arthritis Rheum 38:228–240, 2008). These haemoglobin diseases are associated with characteristics abnormalities of the skeleton. Haemoglobin C disease is a benign hemoglobinopathy rarely associated with skeletal disorders [Piéron et al. in la semaine des hôpitaux 57(1–2):22–25, 1981]. We report a case of RA in a 60-year-old woman with homozygous haemoglobin C disease. This coexistence may be a pure coincidence, although we discuss the difficulties with RA treatment in this case due to the unknown effect of anti-rheumatic drugs on the progression of haemoglobin C disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Marino C, Mcdonald E (1990) Rheumatoid arthritis in a patient with sickle cell disease. J Rheumatol 17:970–972

    PubMed  CAS  Google Scholar 

  2. Gladman DD, Bombardier C (1987) Sickle cell crisis following intraarticular steroid therapy for rheumatoid arthritis. Arthritis Rheum 30:1065–1068

    Article  PubMed  CAS  Google Scholar 

  3. Michel M, Habibi A, Godeau B, Bachir D, Lhary A et al (2008) Characteristics and outcome of connective tissue disease in patients with sickle cell disease: report of 30 cases. Semin Arthritis Rheum 38:228–240

    Article  PubMed  CAS  Google Scholar 

  4. Piéron R, Mafart Y, Lesobre B, Zurbach J (1981) Osseous manifestations and hemoglobinopathies C. Sem Hop 57(1–2):22–25

    PubMed  Google Scholar 

  5. Tyler PA, Madani G, Chaudhuri R et al (2006) The radiological appearance of thalassemia Pictorial view. Clin Radiol 61:40–52

    Article  PubMed  CAS  Google Scholar 

  6. Simpore J, Pignatelli S, Barlati S, Musumeci S (2002) Biological and clinical presentation of patients with hemoglobinopathies attending an urban hospital in Ouagadougou: confirmation of the modification of the balance between Hb S and Hb C in Burkina Faso. Hemoglobin 26:121–127

    Article  PubMed  CAS  Google Scholar 

  7. Mijiyawa M (1993) Rheumatic diseases in black Africa. Rev Rhum Ed Fr 60:451–457

    PubMed  CAS  Google Scholar 

  8. Eberhard BA et al (2001) Coexistent sickle cell disease and juvenile rheumatoid arthritis: 2 cases with delayed diagnosis and severe destructive arthropathy. J Rheumatol 28:2125–2128

    Google Scholar 

  9. Nistala K, Murray KJ (2002) Coexistent sickle cell disease and juvenile rheumatoid arthritis: two cases with delayed diagnosis and severe destructive arthropathy. J Rheumatol 29:1802 (author reply 1802–1803)

    Google Scholar 

  10. Castellino G, Govoni M, Trotta F (2000) Rheumatoid arthritis in β-thalassemia trait. Rheumatology (Oxford) 39:1286–1287

    Article  CAS  Google Scholar 

  11. Giakoumi X, Tsironi M, Floudas C, Polymeropoylos E, Papalambros E et al (2005) Rheumatoid arthritis in thalassemia intermedia: coincidence or association. IMAJ 7: 667–669

    Google Scholar 

  12. Sadat-Ali M, Al Elq AH (2007) Sickle cell anaemia: is it a cause for secondary osteoporosis. West Afr J Med 26:134–137

    PubMed  CAS  Google Scholar 

  13. Miller RG, Segal JB, Ashar BH, Leung S, Ahmed S et al (2006) High prevalence and correlates of low bone mineral density in young adults with sickle cell disease. Am J Hematol 81:236–241

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sanae Ali Ou Alla.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ali Ou Alla, S., Allali, F. & Hajjaj-Hassouni, N. Rheumatoid arthritis in patient with homozygous haemoglobin C disease. Rheumatol Int 31, 801–803 (2011). https://doi.org/10.1007/s00296-009-1230-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-009-1230-y

Keywords

Navigation