Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent
Lumbar pain is a very common symptom that derives from benign musculoskeletal conditions, rheumatic inflammatory diseases, neoplasms, and referred and/or nociplastic pain. A 70-year-old man with psoriatic arthritis presented with early-onset lumbosacral pain without evident red flags. Symptomatic t...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2023-12-01
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| Series: | Reumatismo |
| Subjects: | |
| Online Access: | https://www.reumatismo.org/index.php/reuma/article/view/1565 |
| _version_ | 1797385590238347264 |
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| author | H. Parente M. Pontes Ferreira C. Soares F. Guimarães S. Azevedo D. Santos-Faria J. Tavares-Costa D. Peixoto C. Afonso D. Roriz F. Teixeira |
| author_facet | H. Parente M. Pontes Ferreira C. Soares F. Guimarães S. Azevedo D. Santos-Faria J. Tavares-Costa D. Peixoto C. Afonso D. Roriz F. Teixeira |
| author_sort | H. Parente |
| collection | DOAJ |
| description |
Lumbar pain is a very common symptom that derives from benign musculoskeletal conditions, rheumatic inflammatory diseases, neoplasms, and referred and/or nociplastic pain. A 70-year-old man with psoriatic arthritis presented with early-onset lumbosacral pain without evident red flags. Symptomatic treatment was unhelpful. Radiographic imaging showed subtle signs of a disease that could easily be missed. Magnetic resonance imaging revealed a massive prostatic malignancy with bone (sacral and iliopubic) metastasis. Awareness must be given not to disregard every lumbar pain as part of the preexisting rheumatic inflammatory disease (spondyloarthropathy in this case) or a common muscle/ligament/articular disarrangement. Persistence of pain, albeit not inflam-matory nor sharp in nature, despite adequate treatment might be just as important as an acute red flag and requires proper follow-up.
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| first_indexed | 2024-03-08T21:56:21Z |
| format | Article |
| id | doaj.art-c801e3ddac0445adb7914e82c4a2279c |
| institution | Directory Open Access Journal |
| issn | 0048-7449 2240-2683 |
| language | English |
| last_indexed | 2024-03-08T21:56:21Z |
| publishDate | 2023-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Reumatismo |
| spelling | doaj.art-c801e3ddac0445adb7914e82c4a2279c2023-12-19T20:34:49ZengPAGEPress PublicationsReumatismo0048-74492240-26832023-12-0175410.4081/reumatismo.2023.1565Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocentH. Parente0M. Pontes Ferreira1C. Soares2F. Guimarães3S. Azevedo4D. Santos-Faria5J. Tavares-Costa6D. Peixoto7C. Afonso8D. Roriz9F. Teixeira10Department of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de LimaDepartment of Radiology, Unidade Local de Saúde do Alto Minho, Viana do CasteloDepartment of Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de Lima Lumbar pain is a very common symptom that derives from benign musculoskeletal conditions, rheumatic inflammatory diseases, neoplasms, and referred and/or nociplastic pain. A 70-year-old man with psoriatic arthritis presented with early-onset lumbosacral pain without evident red flags. Symptomatic treatment was unhelpful. Radiographic imaging showed subtle signs of a disease that could easily be missed. Magnetic resonance imaging revealed a massive prostatic malignancy with bone (sacral and iliopubic) metastasis. Awareness must be given not to disregard every lumbar pain as part of the preexisting rheumatic inflammatory disease (spondyloarthropathy in this case) or a common muscle/ligament/articular disarrangement. Persistence of pain, albeit not inflam-matory nor sharp in nature, despite adequate treatment might be just as important as an acute red flag and requires proper follow-up. https://www.reumatismo.org/index.php/reuma/article/view/1565Malignancylumbar painimaging |
| spellingShingle | H. Parente M. Pontes Ferreira C. Soares F. Guimarães S. Azevedo D. Santos-Faria J. Tavares-Costa D. Peixoto C. Afonso D. Roriz F. Teixeira Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent Reumatismo Malignancy lumbar pain imaging |
| title | Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent |
| title_full | Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent |
| title_fullStr | Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent |
| title_full_unstemmed | Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent |
| title_short | Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent |
| title_sort | lumbosacral pain in a patient with psoriatic arthritis when the rheumatic disease is innocent |
| topic | Malignancy lumbar pain imaging |
| url | https://www.reumatismo.org/index.php/reuma/article/view/1565 |
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