Young patient with psoriatic arthritis with suspected septic sacroiliitis
DOI: 10.32364/2587-6821-2024-8-2-5
E.Y. Akulinushkina1, S.P. Yakupova2, E.Z. Yakupov3, L.V. Ivanova1, N.I. Maksimov4
1Republican Clinical Diagnostic Center of the MH of RU, Izhevsk, Russian Federation
2Kazan State Medical University, Kazan, Russian Federation
3LLC "Research Medical Complex "Vashe Zdorovie", Kazan, Russian Federation
4Izhevsk State Medical Academy, Izhevsk, Russian Federation
Sacroiliitis in psoriatic arthritis (PsA) was previously considered rare, mild, and non-disabling disorder, but recent studies have demonstrated gross axial impairment in many patients with PsA. The lack of a generally accepted definition of axial involvement in sacroiliitis in PsA worldwide leads to difficulties and doubts when establishing a diagnosis and determining treatment strategy for patients who often require urgent therapeutic measures. This article discusses a patient with sacroiliitis who required a complex differential diagnosis, including specific infections. It reviews the clinical, laboratory and instrumental features of aseptic and septic sacroiliitis. It is essential for specialists to be aware of a range of diseases, including infectious ones, associated with sacroiliitis, and to verify and exclude them in order to provide high-quality medical care.
Keywords: psoriatic arthritis, sacroiliitis, septic sacroiliitis, brucellosis, tuberculosis.
For citation: Akulinushkina E.Y., Yakupova S.P., Yakupov E.Z., Ivanova L.V., Maksimov N.I. Young patient with psoriatic arthritis with suspected septic sacroiliitis. Russian Medical Inquiry. 2024;8(2):84–88 (in Russ.). DOI: 10.32364/2587-6821-2024-8-2-5.
Ekaterina Yu. Akulinushkina — rheumatologist of the Rheumatological Department, Republican Clinical Diagnostic Center of the Ministry of Health of the Republic of Udmurtia; 87B, Lenin str., Izhevsk, 426000, Russian Federation; ORCID iD 0000-0002-9321-431X.
Svetlana P. Yakupova — C. Sc. (Med.), associate professor of the Department of Hospital Therapy, Kazan State Medical University; 49, Butlerov str., Kazan, 420012, Russian Federation; ORCID iD 0000-0002-8590-4839.
Eduard Z. Yakupov — Dr. Sc. (Med.), Professor, director, LLC "Research Complex "Neuroclinics of Professor Yakupov"; 52, Dostoevskiy str., Kazan, 420097, Russian Federation; ORCID iD 0000-0003-2965-1424.
Larisa V. Ivanova — Head of the Rheumatological Department, Republican Clinical Diagnostic Center of the Ministry of Health of the Republic of Udmurtia; 87B, Lenin str., Izhevsk, 426000, Russian Federation; ORCID iD 0000-0003-0411-6118.
Nikolay I. Maksimov — Dr. Sc. (Med.), Professor, Head of the Department of Hospital Therapy with the Courses of Cardiology and Functional Diagnostics of the Faculty of Advanced Training and Professional Retraining, Izhevsk State Medical Academy; 281, Kommunarov str., Izhevsk, 426034, Russian Federation; ORCID iD 0000-0001-6819-2633.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 14.02.2024.
Revised 13.03.2024.
Accepted 27.03.2024.
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