What is it about?
Acute Severe Sacroiliitis mimicking infection on MRI appearances which may well have been Reactive arthritis. This report demonstrates the heterogeneity of presentations linked to the realm of SpA. Sacroiliitis is associated with the spondyloarthropathies (SpA) including ankylosing spondylitis, psoriatic arthritis, and reactive arthritis (ReA), and may be visualized using magnetic resonance imaging (MRI). Here, we describe 4 cases of acute unilateral sacroiliitis with florid MRI appearances that mimicked infection but demonstrated a prompt and complete response to nonsteroidal anti-inflammatory drugs (NSAID).
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Why is it important?
Accurate diagnosis and management. NSAIDs reassuringly were effective in the management of these patients' symptoms.
Perspectives
We discuss the differential diagnoses and the possible SpA associated pathologies.
Sayam Dubash
University of Leeds
Read the Original
This page is a summary of: Acute Unilateral Sacroiliitis Mimicking Infection on Magnetic Resonance Imaging with Response to Nonsteroidal Antiinflammatory Drugs: A Distinct Presentation of Spondyloarthritis?, The Journal of Rheumatology, August 2018, The Journal of Rheumatology,
DOI: 10.3899/jrheum.171456.
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