Systemic lupus erythematosus and dermatomyositis with symptomatic bilateral sacroiliitis: an unusual and interesting association.
Systemic lupus erythematosus (SLE) is a multisystem autoimmune connective-tissue disease with a complex phenotype and varying disease course. Although SLE often causes a polyarticular synovitis, there are only a few case reports of abnormalities of the synovial lined sacroiliac joints. We report a case with an overlap syndrome of SLE and dermatomyositis who subsequently developed bilateral symptomatic sacroiliitis. We conclude that sacroiliitis, although rare, can occur in patients with active SLE as a manifestation of the disease per se.
Chandrasekhara
Pradeep Kumar Shenoy
PK
Department of Rheumatology, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, Andhra Pradesh, 500 082, India.
Jayachandran
Nambiar Veettil
NV
Thomas
Joe
J
Narsimulu
Gumdal
G
D001168:Arthritis / Q000000981:diagnostic imaging / Q000209:etiology*; D003882:Dermatomyositis / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D055815:Young Adult