François S, Guaydier-Souquieres G, Marcelli C
Rheumatology Department, Caen Teaching Hospital, France.
Rev Rhum Engl Ed. 1997 Jul-Sep;64(7-9):508-12.
Whereas radiographic lesions of the sacroiliac joints are common in patients with calcium pyrophosphate deposition crystal disease, they are rarely accompanied with clinical symptoms. We report two cases of acute sacroiliitis probably due to calcium pyrophosphate dihydrate deposition disease. The patients were a 53-year-old man and an 82-year-old woman with chondrocalcinosis in other joints and presence on computed tomography studies of the sacroiliac joints of sclerosis and irregularities of the joint margins with a thin linear calcific deposit within the joint. Both patients recovered fully under therapy with colchicine, analgesics and rest. These two cases suggest that acute sacroiliitis can be caused by calcium pyrophosphate dihydrate crystal deposition disease.
尽管焦磷酸钙沉积晶体病患者的骶髂关节影像学病变很常见，但很少伴有临床症状。我们报告两例可能由二水焦磷酸钙沉积病引起的急性骶髂关节炎病例。患者分别为一名53岁男性和一名82岁女性，其他关节有软骨钙质沉着症，计算机断层扫描显示骶髂关节有硬化，关节边缘不规则，关节内有薄的线状钙化沉积。两名患者在秋水仙碱、镇痛药治疗及休息后均完全康复。这两例病例表明，急性骶髂关节炎可由二水焦磷酸钙晶体沉积病引起。
