Whipple disease revisited: radiographic features of a patient with 35 years of undiagnosed arthritis.
Whipple disease is a relatively rare systemic disorder with protean manifestations among which arthropathic involvement is a frequently attendant and early manifestation. We report the second of 2 consecutively diagnosed Whipple patients seen in an outpatient rheumatology practice who exhibited the triad of the singularly seldom reported radiographic findings of sacroiliitis, cervical apophyseal fusion, and pancarpal narrowing is reported. Both unexplained recurrent arthritis and these radiographic features should lead one to consider this treatable disease.
Scheib
Jeffrey S
JS
Department of Medicine, University of Tennessee Post-Graduate School of Medicine, Knoxville, Tennessee, USA. jscheib@utmck.edu