Pallot-Prades B, Benvenuto V, Riffat G, Alexandre C
Service de Rhumatologie, Hôpital Bellevue, Saint-Etienne.
Rev Med Interne. 1993 Feb;14(2):115-6. doi: 10.1016/s0248-8663(05)81262-7.
The authors report a case of thrombotic thrombocytopenic purpura (TTP) which revealed a hitherto unrecognized ankylosing spondylitis. After a 4-year follow-up, the spondylitis is still progressing in its axial and/or peripheral form, and TTP has not relapsed. TTP is usually primary, but numerous forms consecutive to various diseases, and notably autoimmune diseases, have been reported. The TTP-ankylosing spondylitis association is extremely rare: analysis of the literature yielded only one case. The authors discuss the hypothesis of a common triggering factor.
作者报告了一例血栓性血小板减少性紫癜（TTP）病例，该病例显示出一种此前未被认识的强直性脊柱炎。经过4年的随访，脊柱炎仍以轴向和/或外周形式进展，且TTP未复发。TTP通常为原发性，但也有许多继发于各种疾病，尤其是自身免疫性疾病的病例报道。TTP与强直性脊柱炎的关联极为罕见：文献分析仅发现一例。作者讨论了共同触发因素的假说。
