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양측 천장골염을 동반한 전신성 홍반성 루푸스 1예

Other Titles
 A Case of Bilateral Sacroiliitis in Systemic Lupus Erythematosus 
 정욱진  ;  최승원  ;  이승근  ;  이상길  ;  권진욱  ;  최승혁  ;  송정식  ;  이찬희  ;  송창호  ;  이지수  ;  이수곤 
 Journal of the Korean Rheumatism Association (대한류마티스학회지), Vol.5(1) : 116-120, 1998 
Journal Title
 Journal of the Korean Rheumatism Association (대한류마티스학회지) 
Issue Date
Sacroiliitis is a prototyical feature of the seronegative spondyloarthropathies. It has been reported rarely in patients with systemic lupus erythematosus. We report a case of bilateral sacroiliitis in a 26 year-old female who presented 5 out of 11 ARA criteria for systemic lupus erythematosus. She complained of right low back pain since 1 week after delivery. Plain roentgenogram, computed tomogram and magnetic resonance imaging revealed no evidence of subluxation or pyogenic infection that may be possibly related to delivery, but bilateral sacroiliitis especially more severe in the right side that showed concordantly increased uptake on bone scan. Also she had neither HLA DR-3 nor B-27 antigens and had no other clinical findings of limitation of motion of spine and chest expansion, which suggest that there is a less likelihood of coexistent ankylosing spondylitis. In this case, we suggested that sacroiliitis may be a infrequent manifestation of systemic lupus erythematosus.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Soo Kon(이수곤)
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