Magnetic resonance imaging assessment of sacroiliac joint involvement in Gaucher's disease.
A young woman with Gaucher's disease experienced acute pain in her right sacroiliac (SI) joint. Although pelvic radiographs and computed tomographic scan showed no significant change in the right SI joint, magnetic resonance imaging demonstrated an area of high signal intensity in the iliac part of the right SI joint, and a periosseous collection of blood. This skeletal location is rarely reported in Gaucher's disease; the mechanism of bone crisis is still controversial and our case suggests the occurrence of a bone infarct.
Bisagni-Faure
A
A
Department of Rheumatology, Hôpital Cochin, Paris, France.
Dupont
A M
AM
Chazerain
P
P
Job-Deslandre
C
C
Chevrot
A
A
Menkès
C J
CJ
D000328:Adult; D005260:Female; D005776:Gaucher Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D010146:Pain / Q000503:physiopathology; D011859:Radiography; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging* / Q000473:pathology / Q000502:physiology