Acute postpartum inflammatory sacroiliitis. A report of four cases.
We report four patients with unilateral postpartum sacroiliitis presenting with agonising unilateral pain, an elevated ESR, elevated alkaline phosphatase levels, leucocytosis and positive bone scans. The diagnosis of a non-infectious inflammatory cause was supported by the postpartum onset, the response to non-steroidal anti-inflammatory drugs, negative aspiration cultures in two cases and the lack of changes in the sacroiliac joints on long-term follow-up radiographs.
Floman
Y
Y
Department of Obstetrics and Gynaecology, Hadassah University Hospital, Jerusalem, Israel.
Milgrom
C
C
Gomori
J M
JM
Kenan
S
S
Ezra
Y
Y
Liebergall
M
M
D000208:Acute Disease; D000328:Adult; D000469:Alkaline Phosphatase / Q000097:blood; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001168:Arthritis / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D001799:Blood Sedimentation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007958:Leukocyte Count; D017116:Low Back Pain / Q000209:etiology; D011644:Puerperal Disorders / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012446:Sacroiliac Joint; D013997:Time Factors
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000469:Alkaline Phosphatase