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정욱진 ( Wook Jin Chung ),최승원 ( Seung Won Choi ),이승근 ( Seung Keun Lee ),이상길 ( Sang Gil Lee ),권진욱 ( Jin Wuk Kwon ),최승혁 ( Seung Hyuk Choi ),송정식 ( Jung Sik Song ),이찬희 ( Chan Hee Lee ),송창호 ( Chang Ho Song ) 대한류마티스학회 1998 대한류마티스학회지 Vol.5 No.1
Sacroiliitis is a prototyical feature of the seronegative spondyloarthropathies. It has been reported rarely in patients with systemic lupus erythematosus. We report a case of bilateral sacroiliitis in a 26 year-old female who presented 5 out of 11 ARA criteria for systemic lupus erythematosus. She complained of right low back pain since 1 week after delivery. Plain roentgenogram, computed tomogram and magnetic resonance imaging revealed no evidence of subluxation or pyogenic infection that may be possibly related to delivery, but bilateral sacroiliitis especially more severe in the right side that showed concordantly increased uptake on bone scan. Also she had neither HLA DR-3 nor B-27 antigens and had no other clinical findings of limitation of motion of spine and chest expansion, which suggest that there is a less likelihood of coexistent ankylosing spondylitis. In this case, we suggested that sacroiliitis may be a infrequent manifestation of systemic lupus erythematosus.