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Sacroiliitis in Systemic Lupus Erythematosus Revisited
Neslihan Yilmaz1, Ayten Yazici2, Banu Özulu TÜrkmen3
1Department of Internal Medicine, Division of Rheumatology, Demiroğlu Bilim University Medial Faculty, Istanbul, Turkey.
Archives of Rheumatology
|August 28, 2020
Summary
Inflammatory back pain (IBP) is more common in systemic lupus erythematosus (SLE) patients. However, IBP in SLE is not linked to human leukocyte antigen B27 (HLA-B27) presence.
Area of Science:
- Rheumatology
- Immunology
- Systemic Autoimmune Diseases
Background:
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease.
- Inflammatory back pain (IBP) and sacroiliitis are potential manifestations.
- The association of IBP with human leukocyte antigen B27 (HLA-B27) in SLE is not well-defined.
Purpose of the Study:
- To determine the prevalence of IBP and sacroiliitis in SLE patients.
- To investigate the association between IBP and HLA-B27 status in this population.
Main Methods:
- A cohort of 281 SLE patients and 100 healthy controls (HCs) were assessed.
- The Assessment of SpondyloArthritis international Society-IBP questionnaire was utilized.
- Clinical, laboratory, and radiographic evaluations (X-ray, MRI) were performed to detect sacroiliitis.
Main Results:
- IBP was identified in 16.3% of SLE patients, compared to 0% in HCs (p<0.001).
- Sacroiliitis was detected in 7.8% of SLE patients via imaging.
- Only one SLE patient with sacroiliitis tested positive for HLA-B27.
Conclusions:
- IBP is significantly more prevalent in SLE patients than in the general population.
- There is no apparent association between IBP and HLA-B27 in SLE patients.
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