[Sacro-iliac involvement in he course of Paget disease. Report of 6 cases]. / L'atteinte sacro-iliaque au cours de la maladie de Paget. 6 observations.
Presse Med
; 28(22): 1157-9, 1999 Jun 19.
Article
em Fr
| MEDLINE
| ID: mdl-10414238
ABSTRACT
OBJECTIVES:
Determine the characteristic features of sacroiliac lesions observed in patients with Paget's disease. PATIENTS ANDMETHODS:
A retrospective analysis of the hospital files of 87 patients cared for over a period of 12 years was performed. Six patients, 4 women and 2 men, mean age 79 years, were retained for study. In 4 patients one or both sacroiliac joints were involved with complete fusion of the sacral and iliac bones, confirmed by CT-scan in 3. In the 2 other patients, only one border was involved. Scintigraphy showed polyostotic Paget's disease in 3 cases with pelvic localization in the 3 others. Ankylosing spondylarthritis (B27+) was associated in 1 case and in 2 joint chondrocalcinosis without a calcium rim was visualized at the sacroiliac joint. Sacroiliac fusion was related either to new bone forming a bridge in front of the articular space or destruction of the joint cartilage with pagetic fusion.CONCLUSION:
Sacroiliac involvement in Paget's disease leads to joint fusion by cartilaginous destruction and should suggest possible ankylosing spondylarthritis, ankylosing vertebral hyperostosis, or joint chondrocalcinosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteíte Deformante
/
Articulação Sacroilíaca
/
Doença de Paget Extramamária
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Fr
Revista:
Presse Med
Ano de publicação:
1999
Tipo de documento:
Article