J Rheum Dis.  2015 Oct;22(5):303-307. 10.4078/jrd.2015.22.5.303.

A Case of Axial Spondyloarthropathy in a Patient with Human Immunodeficiency Virus Infection

• Kim TJ
• Jeon CH

• KMID: 2222843
• DOI: http://doi.org/10.4078/jrd.2015.22.5.303

Abstract

Human immunodeficiency virus (HIV) infection is a global pandemic affecting more than 2.9 million people. Aside from opportunistic infections and malignancies, it involves multiple organs, resulting in many complications, and frequently shows various rheumatic manifestations. With improving survival of patients due to the development of highly active anti-retroviral therapy, the number of HIV-infected patients with rheumatic complications is certain to increase. However, reports on HIV induced rheumatic manifestations in Korean patients are limited. On the other hand, spondyloarthropathy is the most common form of inflammatory arthropathy in HIV associated rheumatic manifestations and is frequently accompanied by peripheral arthritis and enthesitis, while axial skeletal involvement is a rare presentation. Herein we report on a 46-year-old man with HIV infection presenting with an axial spondyloarthropathy who was treated successfully with nonsteroidal anti-inflammatory drug, sulfasalazine, and low dose steroid.

Keyword

HIV; Rheumatic diseases; Spondylarthropathies

MeSH Terms

Arthritis
Hand
HIV Infections
HIV*
Humans
Humans*
Middle Aged
Opportunistic Infections
Pandemics
Rheumatic Diseases
Spondylarthropathies*
Sulfasalazine
Sulfasalazine

Figure

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  Figure 1. On pelvic magnetic resonance imaging, subchondral bone edema as an increased signal (white arrow) was noted in the right sacroiliac joint on the fatsaturated fast spin-echo T2-weighted image (A) and coincided with the lesion on the contrast-enhanced fatsaturated fast spin-echo T1 weighted image (black arrow) (B). On the T1 weighted image, there was a fluid collection in the right sacroiliac joint but no abnormal signal was shown around both hip joints.

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