scholarly journals Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Senol Kobak ◽  
Hatice Yilmaz ◽  
Ahmet Karaarslan ◽  
Murat Yalcin
Keyword(s):  
Low Back Pain ◽  
Ankylosing Spondylitis ◽  
Clinical Laboratory ◽  
Morning Stiffness ◽  
Leukocytoclastic Vasculitis ◽  
Skin Lesions ◽  
Low Back ◽  
Hla B27 ◽  
Positive Skin ◽  
Rheumatology Clinic

A 26-year-old male patient presented to our rheumatology clinic with pain, swelling and limitation of movement in his right ankle, and also purpuric skin lesions in the lower extremity pretibial region. He was asked questions, and he said that he had been having chronic low back pain and morning stiffness for the last few years. His physical examination revealed that he had arthritis in his right ankle, purpuric skin lesions in pretibial regions of both legs, and bilateral FABERE/FADIR positivity. The sacroiliac joint imaging and MRI revealed bilateral sacroiliitis findings, and the lateral heel imaging revealed enthesitis. HLA-B27 was positive. Skin biopsy from lower skin lesions was reported to be consistent with leukocytoclastic vasculitis. Based on clinical, laboratory, radiological, and pathological examinations, the patient was diagnosed with ankylosing spondylitis and leukocytoclastic vasculitis. Administration of corticosteroid, salazopyrin, and nonsteroid anti-inflammatory medications was started. Notable clinical and laboratory regression was observed during his checks 3 months later.

scholarly journals Rheumatoid Arthritis and Ankylosing Spondylitis Occurring Together- A Case Report

1970 ◽  
Vol 22 (1) ◽  
pp. 144-146 ◽  
Author(s):  
ABMS Alam ◽  
MA Hoque ◽  
MZ Haque ◽  
ASMM Rahman ◽  
F Ahamed
Keyword(s):  
Rheumatoid Arthritis ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Inflammatory Pain ◽  
Morning Stiffness ◽  
Positive Family History ◽  
Lower Limbs ◽  
Low Back

We report a case of middle aged man who presented with inflammatory low back pain with restriction of movement and enthesopathy. Later on the developed inflammatory pain affecting small and large joints of upper and lower limbs associated with morning stiffness with deformities. There is also positive family history. So, though the incidence is very rare the co-existence of rheumatoid arthritis and ankylosing spondylitis in this case would be a possibility. DOI: 10.3329/taj.v22i1.5040 TAJ 2009; 22(1): 144-146

Assessment of Ankylosing Spondylitis Criteria in Patients with Chronic Low Back Pain and Vertebral Endplate Modic I Signal Changes

2010 ◽  
Vol 37 (11) ◽  
pp. 2334-2339 ◽  
Author(s):  
CHRISTELLE NGUYEN ◽  
IMAD BENDEDDOUCHE ◽  
KATHERINE SANCHEZ ◽  
MARYLÈNE JOUSSE ◽  
AGATHE PAPELARD ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Ankylosing Spondylitis ◽  
Chronic Low Back Pain ◽  
Tertiary Care ◽  
Low Back ◽  
Hla B27 ◽  
Vertebral Endplate ◽  
Mri Findings ◽  
Signal Changes

Objective.Patients with chronic low back pain (cLBP) and vertebral endplate Modic I signal changes on lumbar magnetic resonance imaging (MRI) have clinical features that could mimic inflammatory back pain related to spondyloarthritis (SpA) and/or ankylosing spondylitis (AS). We aimed to assess whether such patients fulfilled criteria for SpA and/or AS.Methods.For 5 months in 2008, all patients (n = 314) referred to a tertiary care physical medicine and rehabilitation facility in France were consecutively screened. A total of 185 hospitalized for non-specific cLBP were prospectively assessed. Forty patients fulfilling inclusion criteria were consecutively enrolled and included in 2 groups according to MRI findings: Modic I (n = 15) and non-Modic I (n = 25). MRI findings were assessed independently by 2 spine specialists and a radiologist. HLA-B27 status was determined. Data were collected on clinical measurements and fulfillment of Amor criteria (AC) and modified New York criteria (mNYC). All assessors were blinded to HLA-B27 status.Results.Whatever the Modic group, no patient fulfilled AC or mNYC, and mean total scores were comparable [3 ± 2 (range 0–22; p = 0.977), 1 ± 1 (range 0–3; p = 1.000), and 0 ± 0 (range 0–1; p = 1.000) for AC and clinical and radiological mNYC, respectively]. HLA-B27 status was similar in both groups [n = 2 (13%) vs n = 0 (0%); p = 0.135].Conclusion.Patients with cLBP and Modic I vertebral endplate signal changes on lumbar MRI do not fulfill widely used and validated criteria for SpA and/or AS. Such cases are clinically distinct from SpA and AS.

scholarly journals Low Back Pain in Hidradenitis Suppurativa: A Diagnosis Not to Miss!

2018 ◽  
Vol 10 (2) ◽  
pp. 187-189
Author(s):  
Benjamin Schnebert ◽  
Véronique del Marmol ◽  
Farida Benhadou
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Hidradenitis Suppurativa ◽  
Combined Therapy ◽  
Skin Lesions ◽  
Skin Area ◽  
Low Back ◽  
Inflammatory Drugs ◽  
The Right ◽  
Altered Sensitivity

We report the case of a patient suffering from hidradenitis suppurativa since puberty and complaining of chronic low back pain associated to altered sensitivity and muscular weakness in the right leg. A diagnosis of lumbosciatica was confirmed. Symptoms were not relieved after the use of nonsteroidal anti-inflammatory drugs and analgesics. A surgical decompression was then indicated but heavily debated. Indeed, extended inflammatory and fibrotic hidradenitis suppurativa lesions were located regarding the skin area eligible for the proposed surgery. A combined therapy with clindamycine/rifampicin was started and the surgery was postponed. A complete remission of the articular symptoms was observed 1 month after the start of the antibiotherapy and the inflammatory skin lesions were greatly improved. With the presentation of this clinical case, we would like to discuss the spectrum of rheumatic disorders associated to hidradenitis suppurativa that needs to be correctly diagnosed and taken into consideration in the therapeutic management of the patient.

scholarly journals 79 THE ASSOCIATIONS BETWEEN LOW BACK PAIN, MORNING STIFFNESS AND LUMBAR DISC DEGENERATION: A ROTTERDAM STUDY

2011 ◽  
Vol 19 ◽  
pp. S41 ◽  
Author(s):  
J. Scheele ◽  
E.I. de Schepper ◽  
P.A. Luijsterburg ◽  
A. Hofman ◽  
B.W. Koes ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Disc Degeneration ◽  
Morning Stiffness ◽  
Lumbar Disc ◽  
Low Back ◽  
Rotterdam Study ◽  
Lumbar Disc Degeneration

scholarly journals Subacute Low Back Pain: infectious spondylodiscitis with epidural and psoas abscess

2021 ◽  
Vol 7 (4) ◽  
pp. 10
Author(s):  
Judit Bartkó ◽  
Daniella Ladóczky-Hulló ◽  
Viktor Petrovszki ◽  
Katalin Varga
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
High Frequency ◽  
Clinical Laboratory ◽  
Psoas Abscess ◽  
Low Back ◽  
Radiological Features ◽  
Subacute Low Back Pain ◽  
Infectious Spondylodiscitis

We describe a case of infectious spondylodiscitis of the lumbar spine  complicated by epidural and bilateral psoas abscesses which started with subtle symptoms and a non-specific clinical picture. Diagnosis is based on clinical, laboratory and radiological features. It can be difficult and often delayed due to the rarity of the disease and the high frequency of low back pain in the general population. Our aim is to raise awareness for the possibility of specific low back pain which requires quick and indispensable action from the physician.

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