title: Inflammatory sacroiliitis in a man with spinal cord injury.
abstract: BACKGROUND
  Inflammatory sacroiliitis associated with spinal cord injury (SCI) as an unusual cause of elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level has not been reported previously to our knowledge.
  
  
  OBJECTIVE
  To represent a case of SCI associated with bilateral sacroiliitis causing ESR and CRP level elevation.
  
  
  METHODS
  Case report of a man with T9 paraplegia.
  
  
  RESULTS
  ESR and CRP levels were high. Pelvic radiography was nearly normal, except for mildly blurred sacroiliac joints with normal margins. A 3-phase bone scan revealed bilateral sacroiliitis and heterotopic ossification at medial side of the left knee. Past history was significant for a recent urinary tract infection. Indomethacin and etidronate were prescribed. Significant decreases in ESR and CRP level were seen 1 month later.
  
  
  CONCLUSIONS
  Sacroiliitis might be an unusual cause of elevated ESR and CRP levels in patients with SCI. Sensory and motor deficits may obscure the typical clinical presentation; therefore, imaging studies are essential for the diagnosis.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, 06018, Etlik, Ankara, Turkey. iltekinduman@yahoo.com
authors.forename: Iltekin
authors.initials: I
authors.lastname: Duman
authors.forename: Mehmet A
authors.initials: MA
authors.lastname: Taskaynatan
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ozgul
authors.forename: Kemal
authors.initials: K
authors.lastname: Dincer
mesh_terms: D000328:Adult; D001168:Arthritis / Q000150:complications* / Q000378:metabolism; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000378:metabolism; D006801:Humans; D008297:Male; D011859:Radiography; D012446:Sacroiliac Joint / Q000473:pathology*; D013119:Spinal Cord Injuries / Q000150:complications* / Q000378:metabolism
chemical_list: D002097:C-Reactive Protein
references.citation: J Spinal Cord Med. 2006;29(2):160-2
references.pmid: 16739560
references.citation: Spinal Cord. 2004 Nov;42(11):649-51
references.pmid: 15111995
references.citation: Br J Rheumatol. 1995 Feb;34(2):174-7
references.pmid: 7704467
references.citation: Scand J Rheumatol. 2006 Nov-Dec;35(6):459-62
references.pmid: 17343254
references.citation: J Spinal Cord Med. 2004;27(5):434-7
references.pmid: 15648796
references.citation: Paraplegia. 1988 Apr;26(2):101-6
references.pmid: 3412779
references.citation: J Spinal Cord Med. 2004;27(4):376-82
references.pmid: 15484668
references.citation: J Rheumatol. 1996 Mar;23(3):491-4
references.pmid: 8832989
references.citation: Radiology. 1993 Aug;188(2):561-5
references.pmid: 8327716
references.citation: Ann Rheum Dis. 1999 Nov;58(11):661-4
references.pmid: 10531068