Manghani M, Loneragan R, Barnsley L
Rheumatology, Concord Repatriation Hospital, Sydney, New South Wales, Australia.
Australas Radiol. 2007 Oct;51 Spec No.:B92-4. doi: 10.1111/j.1440-1673.2007.01809.x.
We describe a 65-year-old male who presented with unilateral sacroiliitis as the first manifestation of metastatic prostatic carcinoma. When progressive symptoms are unresponsive to conventional therapy, a reconsideration of the diagnosis is necessary with appropriate further imaging studies. We discuss the differential diagnosis of sacroiliitis including, mechanisms of joint involvement in malignancy, and present a review of the literature.
