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Isolated sacroiliitis as monosymptomatic form of ankylosing spondylitis - a possible cause of chronic back pain

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Summary

In a retrospective analysis of 770 cases of ankylosing spondylitis or allied disorders 146 patients (19 percent) were found to have isolated sacroiliitis without involvement of the spine. The mean disease duration of isolated sacroiliitis was 11.9 years. The conclusions were based on anamnestic, clinical and radiological data. Of those patients with isolated sacroiliitis 29 percent were female, compared to 11 percent of female patients with typical spinal disease. Cases restricted to the sacroiliac joints for a longer period can be observed frequently in younger patients and may be regarded as an abortive and monosymptomatic form of ankylosing spondylitis insofar as other seronegative spondarthritides can be excluded.

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References

  1. Calin, A., Fries, J.F. Ankylosing spondylitis. Hans Huber Publishers Bern, Stuttgart, Vienna, 1978.

    Google Scholar 

  2. Thorel, J.B., Cavelier, B., Bonneau, J.C., Simonin, J.L., Repartz, C., Deshayes, P. Etude d’une population porteuse de l’antigene HLA B27 comparée a celle d’une population témoin non B27 a la recherche de la Spondylarthrite ankylosante. Rev Rhum, 1978, 45, 275–282.

    PubMed  CAS  Google Scholar 

  3. Moll, J.M.H., Wright, V., New York clinical criteria for ankylosing spondylitis. A statistical evolution. Ann rheum Dis, 1973, 32, 354–363.

    PubMed  CAS  Google Scholar 

  4. Moll, J.M.H., Haslock, I., Macrae, I.F., Wright, V. Associations between ankylosing spondylitis, psoriatic arthritis, Reiter’s disease, the intestinal arthropathies and Behçet’s syndrome. Medicine, 1974, 53, 343–364.

    Article  PubMed  CAS  Google Scholar 

  5. Wright, V., Moll, J.M.H. Seronegative polyarthritis. North-Holland Publishers Company, Amsterdam-New-York-Oxford, 1976, 29–80.

    Google Scholar 

  6. Wright, V. Relationship between ankylosing spondylitis and other spondylarthritides. In: Ankylosing Spondylitis. Editor: Moll J.M.H., Churchill Livingstone, Edinburgh, London, Melbourne and New York, 1980, 42–51.

    Google Scholar 

  7. Blumberg, B., Ragan, C. The natural history of rheumatoid spondylitis. Medicine 1956, 35, 1–31.

    Article  PubMed  CAS  Google Scholar 

  8. Dihlmann, W. Röntgendiagnostik der Sacroiliacalgelenke und ihrer nahen Umgebung. Second Edition. Georg Thieme Verlag Stuttgart, 1978, 39–59.

  9. Dihlmann, W. Röntgenkriterien einschließlich Computertomographie der Sacroiliitis vom Typ “buntes Bild”. In: Sacroiliitis. Editor: Prohaska E., Maudrich W., Wien-München-Bern, 1982, 52–59.

  10. Kozin, F., Carrere, G.F., Ryan, L.M., Foley, D., Lawson, T. Computed tomography in the diagnosis of sacroiliitis. Arthritis Rheum, 1981, 24, 1479–1485.

    Article  PubMed  CAS  Google Scholar 

  11. Schilling, F. Die Spondylitis ankylosans (sog. Bechterew’sche Krankheit) — eine aktuelle übersicht. Immun Infekt, 1981, 9, 189–203.

    PubMed  CAS  Google Scholar 

  12. Wilkinson, M., Bywater, E.G.L. Clinical features and course of ankylosing spondylitis. Ann Rheum Dis, 1958, 17, 209–228.

    Article  PubMed  CAS  Google Scholar 

  13. Schilling, F., Vorlaender, K.O. Der Gamma-Typ der Spondylitis ankylopoetica. Verh Dtsch Ges Inn Med, 1974, 80, 1418.

    PubMed  CAS  Google Scholar 

  14. Vasey, F.B., Kinsella, T.D. Increased frequency of leukocytereactive antinuclear antibody in patients with ankylosing spondylitis. J Rheumatol, 1977, 4, 158–164.

    PubMed  CAS  Google Scholar 

  15. Prohaska, E., Neumüller, J., Partsch, G., Eberl, R. Antinucleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew). Wien Klin Wochenschr, 1980, 92, 876–879.

    PubMed  CAS  Google Scholar 

  16. Carette, S., Graham, D., Little, H., Rubenstein, J., Rosen, P. The natural disease course of ankylosing spondylitis. Arthritis Rheum, 1983, 26, 186–190.

    Article  PubMed  CAS  Google Scholar 

  17. Moll, J.M.H. Diagnostik criteria and their evolution. In: Ankylosing spondylitis. Editor: Moll J.M.H., Churchill Livingstone, Edinburgh, London, Melbourne and New York, 1980, 137–150.

    Google Scholar 

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Prohaska, E. Isolated sacroiliitis as monosymptomatic form of ankylosing spondylitis - a possible cause of chronic back pain. Clin Rheumatol 3, 33–37 (1984). https://doi.org/10.1007/BF02715693

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