一名脊髓损伤男性的炎性骶髂关节炎。
Inflammatory sacroiliitis in a man with spinal cord injury.
作者信息
Duman Iltekin, Taskaynatan Mehmet A, Ozgul Ahmet, Dincer Kemal
机构信息
Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, 06018, Etlik, Ankara, Turkey.
出版信息
J Spinal Cord Med. 2008;31(3):312-4. doi: 10.1080/10790268.2008.11760730.
BACKGROUND
Inflammatory sacroiliitis associated with spinal cord injury (SCI) as an unusual cause of elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level has not been reported previously to our knowledge.
OBJECTIVE
To represent a case of SCI associated with bilateral sacroiliitis causing ESR and CRP level elevation.
METHODS
Case report of a man with T9 paraplegia.
FINDINGS
ESR and CRP levels were high. Pelvic radiography was nearly normal, except for mildly blurred sacroiliac joints with normal margins. A 3-phase bone scan revealed bilateral sacroiliitis and heterotopic ossification at medial side of the left knee. Past history was significant for a recent urinary tract infection. Indomethacin and etidronate were prescribed. Significant decreases in ESR and CRP level were seen 1 month later.
CONCLUSIONS
Sacroiliitis might be an unusual cause of elevated ESR and CRP levels in patients with SCI. Sensory and motor deficits may obscure the typical clinical presentation; therefore, imaging studies are essential for the diagnosis.
背景
据我们所知，与脊髓损伤（SCI）相关的炎性骶髂关节炎作为红细胞沉降率（ESR）和C反应蛋白（CRP）水平升高的罕见原因，此前尚未见报道。
目的
报告1例与双侧骶髂关节炎相关的脊髓损伤病例，该病例导致ESR和CRP水平升高。
方法
1例T9截瘫男性患者的病例报告。
结果
ESR和CRP水平升高。骨盆X线摄影几乎正常，除了骶髂关节轻度模糊但边缘正常。三相骨扫描显示双侧骶髂关节炎以及左膝内侧异位骨化。既往史显示近期有尿路感染。给予吲哚美辛和依替膦酸治疗。1个月后ESR和CRP水平显著下降。
结论
骶髂关节炎可能是脊髓损伤患者ESR和CRP水平升高的罕见原因。感觉和运动功能障碍可能掩盖典型临床表现；因此，影像学检查对诊断至关重要。
Zotero 插件