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Arthritis (Expert Forum)
Sacroileitis/Sacroilitis
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions and support regarding arthritis issues such as: Arthritis, Autoimmune Disease, Bursitis, Fibromyalgia, Gout, Juvenile Rheumatoid Arthritis, Lupus, Myositis, Neuralgia, Osteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis, Sciatica, Tendinitis, Vasculitis.
Sacroileitis/Sacroilitis
by capbiker, Jun 09, 2004 12:00AM
I have just been diagnosed with Sacroileitis/Sacroilitis by my GP. I want to know in basic terms what this is? I already suffer from lower back pain caused by two dehydrated discs, and have recently had problems with pain and stiffness in my left hip, thigh and leg. A recent X ray showed inflamation of the left lower back/hip, a follow up blood test has shown the above diagnosis. In the past I have had two rear inpact accidents one in 1997 and another in 1999, could this have caused or aggravated the onset of the Sacroiletis/Sacroilitis? My final question is I am 49 years of age what is my prognosis for the future with regard to this recent diagnosis?
Doctor's Answer
by Kevin Pho, MD, Jun 13, 2004 12:00AM
, Jun 13, 2004 12:00AM
Sacroiliitis is simply inflammation of the sacro-iliac joints in the back and normally occurs with rheumatological diseases such as ankylosing spondylitis, Behcet's syndrome and Reiter's disease. You may want to discuss with a rheumatologist if any of these diseases are present.
Ankylosing spondylitis (AS) is a chronic inflammatory disease of the axial skeleton manifested by back pain and progressive stiffness of the spine. It characteristically affects young adults with a peak age of onset between 20 and 30 years. An assessment of the ESR or C-reactive protein and determination of the presence or absence of HLA-B27 can be helpful in the diagnosis. These tests can be ordered by your personal physician.
Reiter's disease is a joint disease with skin involvement in which a classic triad of urethritis, arthritis and conjunctivitis is common.
Bechet's syndrome is a chronic inflammatory disorder of unknown cause involving the small blood vessels and characterized by a classic triad of recurrent oral and genital ulcerations with ocular inflammation.
You may also want to discuss whether any GI diseases - like inflammatory bowel disease - as well as psoriasis is present since they can also cause sacroiliitis.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Ankylosing spondylitis (AS) is a chronic inflammatory disease of the axial skeleton manifested by back pain and progressive stiffness of the spine. It characteristically affects young adults with a peak age of onset between 20 and 30 years. An assessment of the ESR or C-reactive protein and determination of the presence or absence of HLA-B27 can be helpful in the diagnosis. These tests can be ordered by your personal physician.
Reiter's disease is a joint disease with skin involvement in which a classic triad of urethritis, arthritis and conjunctivitis is common.
Bechet's syndrome is a chronic inflammatory disorder of unknown cause involving the small blood vessels and characterized by a classic triad of recurrent oral and genital ulcerations with ocular inflammation.
You may also want to discuss whether any GI diseases - like inflammatory bowel disease - as well as psoriasis is present since they can also cause sacroiliitis.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
