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Sacroiliitis mimics: a case report and evaluate of the literature.
BMC Musculoskelet Disord. 2017 Apr 22;18(1):170
Authors: Antonelli MJ, Magrey M
Summary
BACKGROUND: Radiographic sacroiliitis is the hallmark of ankylosing spondylitis (AS), and detection of acute sacroiliitis is pivotal for early analysis of AS. Though radiographic sacroiliitis is a distinguishing function of AS, sacroiliitis might be seen in quite a lot of different illness entities.
CASE PRESENTATION: We current an attention-grabbing case of sacroiliitis in a affected person with Paget illness; the affected person offered with inflammatory again ache which was handled with bisphosphonate. This case demonstrates comorbidity with Paget illness and attainable ankylosing spondylitis. We additionally current a evaluate of the literature for different instances of Paget involvement of the sacroiliac joint.
CONCLUSIONS: As well as, we evaluate radiographic modifications to the sacroiliac joint in classical ankylosing spondylitis in addition to different frequent ailments. We evaluate and distinction options of different ailments that mimic sacroiliitis on a pelvic radiograph together with Paget illness, osteitis condensans ilii, diffuse idiopathic skeletal hyperostosis, infections and sarcoid sacroiliitis. There are some options within the pelvic radiographic findings which assist distinguish amongst mimics, nevertheless, one should additionally rely closely on extra-pelvic radiographic lesions. Along with the scientific presentation, numerous nuances might incline a clinician to the proper analysis; rheumatologists needs to be acquainted with the imaging variations amongst these ailments and traditional spondylitis findings.
PMID: 28431581 [PubMed – indexed for MEDLINE]