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KMID : 0388220140210040205
Journal of the Korean Rheumatism Association
2014 Volume.21 No. 4 p.205 ~ p.208
Diffuse Skeletal Hemangiomatosis Mimicking Sacroiliitis
Hwang Soon-Woo

Lee Jung-Hoon
Ryu Jeong-Ah
Choi Jong-Min
Lee Sang-Ki
Kim Hyun-Sung
Kim Tai-Seung
Kim Tae-Hwan
Lee Hye-Soon
Bang So-Young
Abstract
Hemangiomatosis of the skeletal system is a rare disease without specific symptoms and signs. We describe a 20-year-old patient with low back pain, whose plain radio-graphs of sacroiliac (SI) joint showed irregular sclerotic lesions. The patient was finally confirmed with skeletal he-mangiomatosis by magnetic resonance imaging (MRI) and excisional biopsy of the lesion. The present case suggests that if patients with abnormal lesions of the SI joint in the plain radiographs do not have typical inflammatory back pain, advanced imaging is required to make an accurate diagnosis. Our case also emphasizes the importance of MRI and biopsy in establishing the diagnosis.
KEYWORD
Hemangiomatosis, Sacroiliitis, Magnetic reso-nance imaging
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