jkra The Journal of the Korean Rheumatism Association J Korean Rheum Assoc 1226-8070 2233-4718 The Korean Rheumatism Association 10.4078/jkra.2010.17.4.426 jkra-17-426 Original Article A Case of Ankylosing Spondylitis in a Patient with Human Immunodeficiency Virus ImJun Young ParkMi Ran KimTae Wook JeongMin Jeong JeongJae Shik LeeChoong Won Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea 122010 23122010 17 4 426 430 17062010 02092010 03092010 Copyright © 2010 The Korean Rheumatism Association 2010 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract

Human immunodeficiency virus infection is associated with a variety of rheumatic manifestations. The pathogenic mechanisms are not well defined, but evidences suggests multiple mechanisms, including direct or indirect human immunodeficiency virus involvement with a genetic, immunological, and environmental basis. Rheumatic manifestations can occur during the course of human immunodeficiency virus infection, and their presence is associated with an overall poor prognosis for the underlying human immunodeficiency virus infection. We report a case of a 37-year-old male who had ankylosing spondylitis with a human immunodeficiency virus infection.

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Computed tomography scan shows erosions in both sacroiliac joints.

Technetium-99m bone scan shows increased uptakes in bilateral sacroiliac joints, the left wrist, and left knee joint.