Vol.19 No.1

Case Report

Systemic lupus erythematosus and dermatomyositis with symptomatic bilateral sacroiliitis: an unusual and interesting association

Authors

Pradeep Kumar Shenoy Chandrasekhara1 , Nambiar Veettil Jayachandran1 , Joe Thomas1 , Gumdal Narsimulu1

  • Department of Rheumatology, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad, Andhra Pradesh, 500 082, India
Received:

20 May 2008

Accepted:

30 July 2008

Published online:

11 September 2008

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Abstract

Systemic lupus erythematosus (SLE) is a multisystem autoimmune connective-tissue disease with a complex phenotype and varying disease course. Although SLE often causes a polyarticular synovitis, there are only a few case reports of abnormalities of the synovial lined sacroiliac joints. We report a case with an overlap syndrome of SLE and dermatomyositis who subsequently developed bilateral symptomatic sacroiliitis. We conclude that sacroiliitis, although rare, can occur in patients with active SLE as a manifestation of the disease per se.

Key words

Lupoid sacroarthropathy - Sacroiliitis - Systemic lupus erythematosus - Dermatomyositis - Overlap syndrome