https://doi.org/10.4081/reumatismo.2023.1565
Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent
Accepted: 30 August 2023
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Lumbar pain is a very common symptom that derives from benign musculoskeletal conditions, rheumatic inflammatory diseases, neoplasms, and referred and/or nociplastic pain. A 70-year-old man with psoriatic arthritis presented with early-onset lumbosacral pain without evident red flags. Symptomatic treatment was unhelpful. Radiographic imaging showed subtle signs of a disease that could easily be missed. Magnetic resonance imaging revealed a massive prostatic malignancy with bone (sacral and iliopubic) metastasis. Awareness must be given not to disregard every lumbar pain as part of the preexisting rheumatic inflammatory disease (spondyloarthropathy in this case) or a common muscle/ligament/articular disarrangement. Persistence of pain, albeit not inflammatory nor sharp in nature, despite adequate treatment might be just as important as an acute red flag and requires proper follow-up.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- M. Padovan, M. Govoni, F. Trotta, Semeiology of “early arthritis” , Reumatismo: Vol. 55 No. 3 (2003)
- R. Ramonda, F. Oliviero, M. Podswiadek, R. Stramare, G.P. Ferrari, S. Todesco, Preiser’s disease: two cases report , Reumatismo: Vol. 55 No. 2 (2003)
- A. Belotti Masserini, S. Zeni, R. Cossutta, A. Soldi, F. Fantini, Cost-of-illness in systemic sclerosis: a retrospective study of an italian cohort of 106 patients , Reumatismo: Vol. 55 No. 4 (2003)
- A.M. Elsaman, A. Sayed, A.R. Radwan, Hand dominance in early and established rheumatoid arthritis: evaluation by dynamometer, Ritchie index and musculoskeletal ultrasound: a cross sectional study , Reumatismo: Vol. 72 No. 3 (2020)
- R.G. Misse, A.M. dos Santos, J.M. De Souza, S.K. Shinjo, Transcranial direct current stimulation improves myofascial pain syndrome and chronic fatigue , Reumatismo: Vol. 72 No. 3 (2020)
- F. Oliviero, R. Ramonda, A. Hoxha, A. Scanu, P. Galozzi, M. Favero, P. Frallonardo, L. Punzi, Effect of an oral preparation containing hyaluronic acid, chondroitin sulfate, hydrolyzed collagen type II and hydrolyzed keratin on synovial fluid features and clinical indices in knee osteoarthritis. A pilot study , Reumatismo: Vol. 72 No. 3 (2020)
- N. Belfeki, N. Louarn, I. Chouchane, A. Abbadi, S. Diamantis, The place of 18F FDG PET/CT in the management of patients with eosinophilic fasciitis: a case report , Reumatismo: Vol. 72 No. 4 (2020)
- L. Dalle Carbonare, S. Giannini, Histologic diagnosis of metabolic bone diseases: bone histomorphometry , Reumatismo: Vol. 56 No. 1 (2004)
- G. Salvati, L. Punzi, M. Pianon, C. Valvason, F. Schiavon, N. Noal, S. Todesco, Frequency of the bleeding risk in patients receiving warfarin submitted to arthrocentesis of the knee , Reumatismo: Vol. 55 No. 3 (2003)
- A. Farina, E. Filippucci, W. Grassi, Sonographic findings of the synovial fluid , Reumatismo: Vol. 54 No. 3 (2002)
<< < 14 15 16 17 18 19 20 21 22 23 > >>
You may also start an advanced similarity search for this article.
