Diffuse Skeletal Hemangiomatosis Mimicking Sacroiliitis.
10.4078/jrd.2014.21.4.205
- Author:
Soon Woo HWANG
1
;
Jung Hoon LEE
;
Jeong Ah RYU
;
Jong Min CHOI
;
Sang Ki LEE
;
Hyun Sung KIM
;
Tai Seung KIM
;
Tae Hwan KIM
;
Hye Soon LEE
;
So Young BANG
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. sybang@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Hemangiomatosis;
Sacroiliitis;
Magnetic resonance imaging
- MeSH:
Back Pain;
Biopsy;
Diagnosis;
Humans;
Joints;
Low Back Pain;
Magnetic Resonance Imaging;
Rare Diseases;
Sacroiliitis*;
Young Adult
- From:Journal of Rheumatic Diseases
2014;21(4):205-208
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemangiomatosis of the skeletal system is a rare disease without specific symptoms and signs. We describe a 20-year-old patient with low back pain, whose plain radiographs of sacroiliac (SI) joint showed irregular sclerotic lesions. The patient was finally confirmed with skeletal hemangiomatosis by magnetic resonance imaging (MRI) and excisional biopsy of the lesion. The present case suggests that if patients with abnormal lesions of the SI joint in the plain radiographs do not have typical inflammatory back pain, advanced imaging is required to make an accurate diagnosis. Our case also emphasizes the importance of MRI and biopsy in establishing the diagnosis.