Young patient with psoriatic arthritis with suspected septic sacroiliitis

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Sacroiliitis in psoriatic arthritis (PsA) was previously considered rare, mild, and non-disabling disorder, but recent studies have demonstrated gross axial impairment in many patients with PsA. The lack of a generally accepted definition of axial involvement in sacroiliitis in PsA worldwide leads to difficulties and doubts when establishing a diagnosis and determining treatment strategy for patients who often require urgent therapeutic measures. This article discusses a patient with sacroiliitis who required a complex differential diagnosis, including specific infections. It reviews the clinical, laboratory and instrumental features of aseptic and septic sacroiliitis. It is essential for specialists to be aware of a range of diseases, including infectious ones, associated with sacroiliitis, and to verify and exclude them in order to provide high-quality medical care. KEYWORDS: psoriatic arthritis, sacroiliitis, septic sacroiliitis, brucellosis, tuberculosis. FOR CITATION: Akulinushkina E.Y., Yakupova S.P., Yakupov E.Z., Ivanova L.V., Maksimov N.I. Young patient with psoriatic arthritis with suspected septic sacroiliitis. Russian Medical Inquiry. 2024;8(2):84–88 (in Russ.). DOI: 10.32364/2587-6821-2024-8-2-5.

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