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

Tae-Jin Kim; Chan Hong Jeon

doi:10.4078/jrd.2015.22.5.303

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Kim and Jeon: A Case of Axial Spondyloarthropathy in a Patient with Human Immunodeficiency Virus Infection

Case Report

J Rheum Dis 2015;22(5):303-307.

Published online: 31 October 2015

DOI: https://doi.org/10.4078/jrd.2015.22.5.303

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

Tae-Jin Kim, Chan Hong Jeon

Division of Rheumatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea

Corresponding to: Chan Hong Jeon, Division of Rheumatology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Wonmi-gu, Bucheon 14584, Korea. E-mail: chjeon@gmail.com

Received 11 October 2014 Revised 7 November 2014 Accepted 10 November 2014

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: HIV, Rheumatic diseases, Spondylarthropathies

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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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