July 2024
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Annals of Medicine and Surgery
Introduction and Importance Uveitis, as an extra-articular presentation, is found in 23% of patients with Ankylosing Spondylitis and is a challenging disease to treat. Case presentation we presented A 32-year-old male presented to the out-hospital, complaining of recurrent anterior uveitis 8 years earlier in his left eye, and suffered from inflammatory lumber pain for 2 years. so a diagnosis of Ankylosing Spondylitis(AS) after the failure of many therapeutic strategies, 50 mg /month subcutaneous Golimumab was started with clinical remission of AS and uveitis. Clinical discussion The American College of Rheumatology ¹⁰ recommends the use of etanercept and adalimumab in the treatment of recurrent uveitis in AS patients. Similarly, the European League Against Rheumatism ¹¹ recommended using Infliximab, Adalimumab, or Certolizumab to prevent the recurrence of uveitis recurrence. Till now, a case about treating refractory uveitis with Golimumab in AS patients was published1. Conclusion Golimumab was found to be effective in the treatment of uveitis associated with spondyloarthritis refractory at least one immunosuppressive drug.