title: Coexistence of osteopoikilosis with seronegative spondyloarthritis and spinal stenosis.
abstract: [Purpose] Osteopoikilosis is a rare hereditary bone disease that is usually asymptomatic. It is generally diagnosed incidentally on plain radiography. The coexistence of osteopoikilosis with seronegative spondyloarthritis or spinal stenosis is rarely reported. Here, we report the case of a 27-year-old male patient with osteopoikilosis, seronegative spondyloarthritis, and spinal stenosis. [Subject] A 27-year-old male patient with buttock pain and back pain radiating to the legs. [Methods] A plain anteroposterior radiograph of the pelvis revealed numerous round and oval sclerotic bone areas of varying size. Investigation of the knee joints showed similar findings, and the patient was diagnosed with osteopoikilosis. Lumbar magnetic resonance images showed spinal stenosis and degenerative changes in his lumbar facet joints. Magnetic resonance images of the sacroiliac joints showed bilateral involvement with narrowing of both sacroiliac joints, nodular multiple sclerotic foci, and contrast enhancement in both joint spaces and periarticular areas. HLA B-27 test was negative. [Results] The patient was diagnosed with osteopoikilosis, seronegative spondyloarthritis, and spinal stenosis. Treatment included asemetasin twice daily and exercise therapy. [Conclusion] Symptomatic patients with osteopoikilosis should be investigated for other possible coexisting medical conditions; this will shorten the times to diagnosis and treatment.
authors.affiliation: Physical Medicine and Rehabilitation Department, Bezmialem Vakif University Faculty of Medicine, Turkey.
authors.forename: Saliha Eroglu
authors.initials: SE
authors.lastname: Demir
authors.affiliation: Physical Medicine and Rehabilitation Department, Bezmialem Vakif University Faculty of Medicine, Turkey.
authors.forename: Nihal
authors.initials: N
authors.lastname: Özaras
authors.affiliation: Physical Medicine and Rehabilitation Department, Bezmialem Vakif University Faculty of Medicine, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Poyraz
authors.affiliation: Department of Radiology, Bezmialem Vakif University Medical Faculty, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Toprak
authors.affiliation: Physical Medicine and Rehabilitation Department, Bezmialem Vakif University Faculty of Medicine, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Güler
keywords: Osteopoikilosis; Spinal stenosis; Spondyloarthritis