Dr. Cohen replies

To the Editor: We thank Dr. Koumakis and colleagues for their interest in our report1. A few cases of spondyloarthritis (SpA) treated by tocilizumab have been published. The report of Koumakis and colleagues is interesting for many reasons: (1) they described the case of a woman with a severe radiographic ankylosing spondylitis (AS) on spine and … E-mail: jd-cohen{at}chu-montpellier.fr