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
- G. Tansir, P. Kumar, A. Pius, S.K. Sunny, M. Soneja, Pseudo-pseudo Meigs’ syndrome: a rare presentation of systemic lupus erythematosus , Reumatismo: Vol. 71 No. 2 (2019)
- F.M. Perrotta, S. Scriffignano, A. De Socio, E. Lubrano, Occult axial involvement in patients with psoriatic arthritis mutilans: a case report , Reumatismo: Vol. 71 No. 2 (2019)
- A. Andrade, R. de Azevedo Klumb Steffens, S. Mendes Sieczkowska, D. Reis Coimbra, G. Torres Vilarino, Acute effect of strength training on mood of patients with fibromyalgia syndrome , Reumatismo: Vol. 71 No. 3 (2019)
- L. De Filippis, S. Gulli, A. Caliri, C. Romano, F. Munaò, G. Trimarchi, D. La Torre, C. Fichera, A. Pappalardo, G. Triolo, M. Gallo, G. Valentini, G. Bagnato, Gruppo OASIS (Osteoarthritis South Italy Study), Epidemiology and risk factors in osteoarthritis: literature review data from “OASIS” study , Reumatismo: Vol. 56 No. 3 (2004)
- G. Frosi, A. Sulli, M. Testa, M. Cutolo, The sterno-clavicular joint: anatomy, biomechanic, clinical features and aspects of manual therapy , Reumatismo: Vol. 56 No. 2 (2004)
- N. Belfeki, A. Strazzulla, M. Picque, S. Diamantis, Extreme hyperferritinemia: etiological spectrum and impact on prognosis , Reumatismo: Vol. 71 No. 4 (2019)
- A. Migliore, S. Tormenta, C. Valente, U. Massafra, L.S. Martin Martin, E. Carmenini, A. Bernardini, A. Alimonti, Intra-articulaar treatment with Hylan G-F 20 under ultrasound guidance in hip osteoarthritis. Clinical results after 12 months follow-up , Reumatismo: Vol. 57 No. 1 (2005)
- O. Epis, E. Viola, E. Bruschi, F. Benazzo, C. Montecucco, Milwaukee shoulder syndrome (apatite associated destructive arthritis): therapeutic aspects , Reumatismo: Vol. 57 No. 2 (2005)
- A. Migliore, S. Tormenta, F. Iannesi, E. Mascheroni, E. Barbati, A. Capuano, M. Diaco, U. Massafra, C. Padalino, F. Vacca, A. Alimonti, L.S. Martin, M. Granata, Correlation between radiologic and ultrasonographic patterns and clinical manifestations in symptomatic hip osteoarthritis , Reumatismo: Vol. 59 No. 1 (2007)
- B. Frediani, M. Rossini, S. Adami, G. Bianchi, O. Di Munno, L. Sinigaglia, M. Antonelli, G. Minisola, Study of vitamin D status of rheumatoid arthritis patients Rationale and design of a cross-sectional study by the osteoporosis and metabolic bone diseases study group of the Italian Society of Rheumatology (SIR) , Reumatismo: Vol. 58 No. 4 (2006)
<< < 20 21 22 23 24 25 26 > >>
You may also start an advanced similarity search for this article.
