An atypical psoriatic spondylitis case, successfully treated with methotrexate. uri icon

Overview

abstract

  • We present a 45-year-old male patient who was hospitalized with lumbar disc herniation and whose control magnetic resonance imaging (MRI) findings initially suggested brucella spondylitis. Definitive diagnosis, however, indicated psoriatic spondylitis and the patient was successfully treated with methotrexate. A diagnosis of lumbar disc herniation was made in May 1991, during his psoriasis vulgaris treatment. He was hospitalized in August 1994 with a complaint of low-back pain persisting over the last six months despite treatment with analgesics. He was evaluated by clinical, radiological, laboratory and scintigraphic methods, following control MRI findings suggesting infection of vertebral bodies, particularly pointing to brucellosis in addition to disc herniation. A diagnosis of psoriatic spondylitis was finally established and 7.5 mg methotrexate weekly was administered. Significant improvement was obtained of psoriatic skin lesions, low-back pain and MRI findings through a six-month treatment period.

publication date

  • July 1, 1996

Research

keywords

  • Antirheumatic Agents
  • Arthritis, Psoriatic
  • Methotrexate
  • Spondylitis

Identity

Scopus Document Identifier

  • 0029945189

Digital Object Identifier (DOI)

  • 10.1007/BF02230367

PubMed ID

  • 8853178

Additional Document Info

volume

  • 15

issue

  • 4