Rheumatology Advance Access originally published online on June 7, 2005
Rheumatology 2005 44(10):1323-1324; doi:10.1093/rheumatology/keh704
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
LETTER TO THE EDITOR |
Sacroiliitis presenting as sciatica
Department of Rheumatology and 1 Department of Radiology, Guy's and St Thomas' Hospital, London, UK
Correspondence to: B. Kirkham, Department of Rheumatology, 4th Floor, Thomas Guy House, St Thomas Street, London SE1 9RT, UK. E-mail: bruce.kirkham@gstt.sthames.nhs.uk
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SIR, Sciatica is a common presentation but the underlying cause may be sacroiliitis, which differs in prognosis and treatment options. We present two cases of sacroiliitis presenting as sciatica. The first case is a 28-yr-old man who for 18 months had recurrent episodes of left buttock pain radiating down to the lower calf, typical of sciatic pain. Straight leg raising and femoral nerve stretch tests were negative and MRI of the lumbar spine showed no evidence of disc herniation. MRI of