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Kawanishi K, Nishiwaki H, Oshiro T, Kajitani H, Amagasa M, Uehara N, Inoue Y, Nagahama M, Koiwa F. A case of myeloperoxidase-antineutrophil cytoplasmic antibody and anticardiolipin antibody-positive pyogenic arthritis, pyoderma gangrenosum, acne and hidradenitis suppurativa (PAPASH) syndrome with colitis. Mod Rheumatol Case Rep 2021; 5:333-336. [PMID: 33560194 DOI: 10.1080/24725625.2021.1881216] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
A previous case report of colitis and serine proteinase 3-antineutrophil cytoplasmic antibody positivity in pyogenic arthritis, pyoderma gangrenosum (PG), acne and hidradenitis suppurativa (PAPASH) syndrome with colitis has been published. Herein, we report a similar case of myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCA) positivity. A 26-year-old man presented with recurrent aseptic pyogenic arthritis, acne, hidradenitis suppurativa and PG. Lower gastrointestinal endoscopy was performed, and colitis was observed. No PSTPIP1 gene mutation was found in the gene-sequencing test. Based on these findings and prior case reports, we diagnosed the patient with PAPASH syndrome, a PAPA spectrum disorder complicated by colitis. This patient had PAPASH syndrome with colitis and was MPO-ANCA and anticardiolipin antibodies-positive; it is unclear whether these antibodies play a role in this disease, but it may provide clues to further elucidate its pathogenesis.
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Affiliation(s)
- Keishu Kawanishi
- Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Hiroki Nishiwaki
- Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan.,Showa University Research Administration Center (SURAC), Showa University, Tokyo, Japan
| | - Tsuyoshi Oshiro
- Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Hideto Kajitani
- Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Masahito Amagasa
- Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Natsumi Uehara
- Division of Gastroenterology, Medical Topia Soka Hospital, Soka, Japan.,Department of Internal Medicine, Division of Gastroenterology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Yoshihiko Inoue
- Department of Internal Medicine, Division of Rheumatology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Masatsugu Nagahama
- Department of Internal Medicine, Division of Gastroenterology, Showa University Fujigaoka Hospital, Yokohama, Japan
| | - Fumihiko Koiwa
- Department of Internal Medicine, Division of Nephrology, Showa University Fujigaoka Hospital, Yokohama, Japan
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