{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T07:25:43Z","timestamp":1774682743094,"version":"3.50.1"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,30]]},"abstract":"<jats:p>Takayasu\u2019s arteritis (TA) is a rare granulomatous vasculitic disease. Recently, experimental studies and several case reports have supported the use of anti-tumour necrosis factor (TNF) therapy for severe forms of TA. We report a case of a 58-year-old woman who was followed for spondyloarthritis. Her disease was resistant to non-steroidal anti-inflammatory drugs, and TNF-\u03b1 blockers were initiated. The patient developed asthaenia and severe back pain. The erythrocyte sedimentation rate was 82\u2005mm and C reactive protein was 192\u2005mg\/L. Based on thickened walls of large vessel on MRI, a diagnosis of TA was established. Under corticosteroids and after discontinuation of TNF-\u03b1 blockers, the patient remained free of symptoms at 8-month follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2014-204226","type":"journal-article","created":{"date-parts":[[2014,11,24]],"date-time":"2014-11-24T11:28:04Z","timestamp":1416828484000},"page":"bcr2014204226","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Takayasu's arteritis occurring under TNF-\u03b1 blockers: a new paradoxical effect?"],"prefix":"10.1136","volume":"2014","author":[{"given":"Leila","family":"Souabni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaouther","family":"Ben 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