• A patient developed both ankylosing spondylitis and rheumatoid arthritis, each of which responded to d-penicillamine or gold sodium thiomalate and indomethacin, respectively. The patient was both HLA-B27 and -DR4 positive. In addition, he was found to have Paget's disease of bone, which has required no treatment.
(Arch Intern Med 1985;145:1915-1917)