Case Study Describes Success With Alternative Therapies in Patient With Ankylosing Spondylitis

Linda Rider

A affected individual with ankylosing spondylitis (AS) confirmed medical advancement in signs with alternative and complementary therapies following withdrawal of adalimumab, according to info from a circumstance report published in Complementary Therapies in Clinical Observe.

The report described the situation of a 38-12 months-previous lady with a heritage of uterine leiomyoma who was diagnosed with AS in April 2017. The affected individual examined human leukocyte antigen (HLA) B27-beneficial and presented with symmetrical and bilateral sacroiliitis on imaging. She was initiated on adalimumab treatment method in August 2017, which confirmed improvements in inflammatory biomarker levels. Nevertheless, after 9 months of treatment method, the client professional disseminated and refractory Molluscum contagiosum an infection. These bacterial infections precluded additional use of adalimumab treatment was discontinued in September 2018.

The individual was then initiated on a 60-working day system of dietary supplements, each taken twice every day: Astragalus membranaceus (150 mg), Vaccinium macrocarpon (250 mg), Optuntia indica ficus (50 mg), dismutase superoxide (100 mg), and caviar phospholipids (75 mg). Inside 1 thirty day period, the affected person experienced resolution in disseminated skin lesions, while however remained symptomatic for AS.

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An “integrative health-related strategy [of] health supplement use…[with] an anti-inflammatory diet plan ” was mentioned with the affected person. According to this approach, the client obtained a one intramuscular injection of vitamin D3 600,000 IU and a solitary dose of albendazole 400 mg that was repeated following 15 times. The patient gained a collection of supplements at the time each day — Curcuma longa (500 mg), Rhodiola rosea (400 mg), and omega-3 (3g)— and self-administered a components that contains selenium (100 μg), methylcobalamin (800 μg), pyridoxine (100 mg), zinc (40 mg), vitamin C (500 mg), and coenzyme Q10 (100 mg). The patient was also instructed to adhere to an anti-inflammatory eating plan, which eliminated dairy, gluten, and sugar.

With the enable of this regimen, the client knowledgeable progressive clinical enhancement in AS signs or symptoms. After 2 months, erythrocyte sedimentation amount (ESR) was observed to be lessened significantly in contrast with pre-therapy levels (23 mm vs 29 mm in the 1st hour). The C-reactive protein (<0.3 mg/L vs 1.57 mg/L) and alpha-1-acid glycoprotein (46 mg/dL vs 139 mg/dL) levels were also substantially reduced at 2 months on treatment compared with pre-treatment levels. A reduction in anti-thyroid peroxidase antibodies (42.2 U/mL to 15.6 U/mL) was also observed.

Imaging showed significant physical improvements in the sacroiliac joint. Vitamin D, calcium, zinc, and vitamin B12 levels remained at normal levels during treatment, with none of them reaching toxicity. Although the patient reported intermittent episodes of back pain during treatment, inflammatory biomarkers remained at normal levels. A further clinical response was observed when treatment was supplemented with regular physical exercise and twice-daily administration of cyclobenzaprine 5 mg and 5-hydroxytryptamine 50 mg.

“This report describes an efficacious alternative and complementary approach to treating uncommon inflammatory conditions such as AS,” wrote author Dr Jozélio Freire De Carvalho. “Dietary changes and supplementation were effective in alleviating disease-related inflammatory processes, he noted.”


Freire de Carvalho J. Successful treatment of ankylosing spondylitis with alternative and complementary medicine withdrawal of adalimumab treatment. Complement Ther Clin Pract. Published online October 24, 2021. doi:10.1016/j.ctcp.2021.101494

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