International Journal of Public Health and Epidemiology

ISSN 2326-7291

International Journal of Public Health and Epidemiology ISSN 2326-7291 Vol. 5 (2), pp. 244-245, February, 2016. © International Scholars Journals

Case Report

Management of severe and refractory HLA-B27 negative heel enthesitis using adalimumab

Faisal Salman

Department of Rheumatology, King AbdulAziz University Hospital, Jeddah, Saudi Arabia.

*Corresponding author. E-mail: [email protected]

Accepted 15 November, 2015

Abstract

Enthesitis is a common manifestation of HLA-B27 positive spondyloarthritis. Here, we report the successful use of adalimumab for the treatment of an unusual case of isolated heel enthesitis, in an HLA-B27 negative patient without additional clinical symptoms of undifferentiated spondyloarthritis. These findings contribute to the growing body of evidence that supports the beneficial use of anti-tumor necrosis factor-alpha therapies for patients with enthesitis.

Key words: Adalimumab, enthesitis, spondyloarthritis, magnetic resonance imaging.