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Annals of Physical and Rehabilitation Medicine
Volume 57, n° S1
page e253 (mai 2014)
Doi : 10.1016/j.rehab.2014.03.920
Pain / Douleur

A rare adult case of sacroiliitis due to poststreptococcal reactive arthritis
 

U. Dogan Duran a, Y. Demir a, E. Adiguzel a, , S. Sari b, I. Safaz a
a Gulhane Military Medical Academy, Department of PMR, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey 
b Gulhane Military Medical Academy, Department of Radiology, Ankara, Turkey 

Corresponding author.

Introduction. – Poststreptococcal reactive arthritis (PSReA) is a type of sterile arthritis which occurs after a betahaemolytic streptococcal throat or skin infection. Although rare, small joints and the axial skeleton may also be involved.

Observation. – A 43-year-old man was admitted to our hospital with severe right hip pain and skin lesions at palmar sides of his both hands and plantar sides of his feet for the last 3weeks. He had been diagnosed with septic arthritis and parenteral ceftriaxone and azithromycin had been given. As the hip pain persisted, the patient was referred to our clinic. Sacroiliac joint MRI was performed and it revealed acute sacroillitis at the right sacroiliac joint. Anti-streptolysin O titre was 1097IU/mL and 1806IU/mL on admission and 2weeks later, respectively. He was diagnosed as PSReA and acemetacin 60mg twice daily was prescribed.

Discussion.– PSReA is a type of non-migratory arthritis that usually affects the knee and ankle joints, and axial involvement is rare. To our knowledge, sacroiliitis and adductor muscle involvement has been reported only in a single case. We would like to draw attention of physicians towards the possibility of sacroiliitis in patients with PSReA.


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