Clinical Images: Osteoblastoma of the Ilium Mimicking Sacroiliitis

Modaressi, Kourosh; Fuchs, Bruno; Sutter, Reto; Bode, P.; Meili, Severin; Weber, Ulrich

doi:10.1002/art.37915

Cited by 7 publications

(1 citation statement)

References 2 publications

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“…Diferenciální diagnostika sakroiliitidy je obtížná, je nutné odlišit ankylozující spondylitidu, psoriatickou artropatii, revmatoidní artritidu, systémovou sklerodermii, dnu, pseudodnu, familiární středomořskou horečku, hyperparatyreózu, m. Behcet, m. Whipple, systémovou chondromalacii, primární a sekundární tumory SI kloubu (z primárních např. osteoblastom), (3,10,11,14,15).…”

Section: Diferenciální Diagnostika Sakroiliitidyunclassified

Septic Sacroiliitis Complicated by a Pseudoaneurysm of the Internal Iliac Artery. A Case Report

Salášek¹,

Pavelka²

2016

ACHOT

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The case of a 67-year-old woman with a combination of pelvic pyomyositis and left-sided sacroiliitis is reported. After a failed two-week antibiotic therapy, CT-guided percutaneous drainage of psoas muscle abscesses was performed and methicillin-resistant Staphylococcus aureus (MRSA) was isolated. Subsequently, a regression of symptoms was observed. At 6.5 weeks after the onset of symptoms, progression of sacroiliac joint (SI) destruction was again observed and an open revision of the SI joint was indicated (posterior approach, drainage and lavage). This again was followed by symptom regression. At 9.5 weeks after the patient was admitted, her condition markedly deteriorated and a large gluteal abscess was detected on CT examination. The second revision surgery was complicated by massive bleeding and, due to a septic pseudoaneurysm, internal iliac artery ligation was necessary. A significant subsidence of inflammatory changes and no pseudoaneurysm were shown on the follow-up CT scan. The intravenous antibiotic therapy with clindamycin was continued. At follow-up, repeated microbiological cultures from both tissue samples and drained secretions were all negative and CT scanning detected neither any fluid around the SI joint nor a pseudoaneurysm.

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Section: Diferenciální Diagnostika Sakroiliitidyunclassified

Septic Sacroiliitis Complicated by a Pseudoaneurysm of the Internal Iliac Artery. A Case Report

Salášek¹,

Pavelka²

2016

ACHOT

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Advances and Challenges in Spondyloarthritis Imaging for Diagnosis and Assessment of Disease

Weber

Maksymowych

2013

Curr Rheumatol Rep

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In recent years there has been an increased focus on use of imaging for diagnosis and assessment of spondyloarthritis (SpA). Magnetic resonance imaging (MRI) has attracted particular interest for its potential to improve diagnostic certainty for early, non-radiographic disease and to assist clinical decision-making. This report summarizes recent developments toward definition of positive sacroiliac joint and spine MRIs for SpA, with erosion as the major determinant for disease classification. The report also highlights recent SpA imaging work relevant to daily practice, focusing on limitations and challenges of SpA imaging and, in particular, on unsolved practical difficulties of using MRI in SpA. Recent data suggest that SpA imaging in daily practice may not be confined to identification and assessment of disease; it may also become essential for monitoring, clinical decision making, and selecting the most appropriate treatment for patients with SpA. Improved use of imaging may have much potential to enable better management of SpA.

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Imaging in Axial Spondyloarthritis: What is Relevant for Diagnosis in Daily Practice?

Weber¹,

Jurik

Lambert

et al. 2021

Curr Rheumatol Rep

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Clinical Images: Osteoblastoma of the Ilium Mimicking Sacroiliitis

Cited by 7 publications

References 2 publications

Septic Sacroiliitis Complicated by a Pseudoaneurysm of the Internal Iliac Artery. A Case Report

Septic Sacroiliitis Complicated by a Pseudoaneurysm of the Internal Iliac Artery. A Case Report

Advances and Challenges in Spondyloarthritis Imaging for Diagnosis and Assessment of Disease

Imaging in Axial Spondyloarthritis: What is Relevant for Diagnosis in Daily Practice?

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