Spondyloarthropathy occurring in long-standing idiopathic hypoparathyroidism

Jakkani, Ravi Kanth; Sureka, Jyoti; Mathew, John

doi:10.2484/rcr.v6i4.545

Cited by 14 publications

(12 citation statements)

References 9 publications

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“…4 Image tests that detect the ossification of the ligament iliolumbar are radiography, as our case, CT scan, and MRI. 5 In one case it was detected on bone scintigraphy. 6 In degenerative spondylolisthesis, it is recognized that the sliding of the fourth lumbar vertebra on the fifth vertebra is six times more common when compared to the slide between the fifth lumbar vertebra on the sacrum.…”

Section: Discussionmentioning

confidence: 95%

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2018

MOJAP

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The iliolumbar ligament is described as a biomechanically important ligament for the lumbopelvic region; it extends from the transverse processes of the 4th and 5th lumbar vertebrae to the iliac crest. Alterations of the iliolumbar ligament are attributed to trauma and assumed to be an important source of low back pain syndrome having a great economic impact. Changes in iliolumbar ligament morphology relating to the low back pain syndrome have not been deeply studied.The iliolumbar ligament (IL) is a culpable ligament of reducing sacroiliac joint movement, due to its cranial margin. The IL engages in body weight transmission to the lower extremity, stabilizing the vertebral spine and the pelvis, as the major ligament responsible for that. Besides that, the spinal flexion is a consequence movement, unleashed by the anterior band of the IL.

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Section: Discussionmentioning

confidence: 95%

“…The possible causes of ligament iliolumbar calcification or ossification, include: a. Hypoparathyroidism. 5,8 b. Ankylosing spondylitis -seropositive inflammatory spondylarthropathies in general. 7,8 c. Idiopathic skeletal hyperostosis -DISH.…”

Section: Discussionmentioning

confidence: 99%

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2018

MOJAP

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“…They are accompanied by inflammation at the enthesis sites and mostly HLA-B27 positivity. [1] Due to the differences in the treatment of inflammatory SpA and hypoparathyroidism-associated SpA, a differential diagnosis followed by appropriate treatment is very important. [4] When radiological findings are compared, in SpA, bone density is decreased, syndesmophytes are usually located in the lumbar and lower thoracic region, sacroiliitis is more common and is accompanied by erosion while new bone formation is not usually observed in the acetabulum.…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of hypoparathyroidism includes autoimmune, genetic and radiotherapy-related causes and past surgery. [1,2] Hypoparathyroidism is common after thyroid surgery. In a case study with 233 patients, Pelizzo et al [3] reported the rates of transient and permanent hypoparathyroidism following thyroid surgery as 36.4% and 3.3%, respectively.…”

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confidence: 99%

A rare case of spondyloarthropathy: Iatrogenic hypoparathyroidism

Türkoğlu

Toprak

Aydoğan

et al. 2020

Turk J Phys Med Rehab

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Hypoparathyroidism is an endocrinopathy that can develop idiopathically, as well as due to reasons associated with genetics, autoimmunity, surgery and radiotherapy. It usually presents with neuromuscular signs and symptoms, including enthesopathy caused by calcification of the ligament and enthesis sites, soft tissue calcification, hypertension, cataract and extrapyramidal findings due to basal ganglia calcification. Hypoparathyroidism-associated spondyloarthropathy (SpA) is a rarely seen clinical entity. Hypoparathyroidism-associated SpA differs from other inflammatory SpAs in that the results for human leukocyte antigen B27 and inflammatory markers are negative and bone density is normal. The symptoms are relieved by calcium and vitamin D, rather than anti-inflammatory drugs. Due to this difference in treatment modalities, the diagnosis of this type of SpA is important. This article presents the case report of a 52-year-old female patient with iatrogenic hypoparathyroidism accompanied by asymptomatic hypocalcemia and SpA clinic.

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“…Состояние суставов при гипопаратиреозе характеризуется повышением рисков развития спондилоартропатии, характеризующейся оссификацией связок и образованием синдезмофитов [37]. В небольшой серии клинических наблюдений сообщалось о наличии клинически выраженной спондилоартропатии у 3 из 40 пациентов с гипопаратиреозом, с выявлением радиологических изменений в 14 из 40 случаев [38].…”

Section: скелетно-мышечная система и зубная тканьunclassified

Chronic hypoparathyroidism in adults: clinical features, diagnosis, management and treatment

et al. 2019

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Hypoparathyroidism is a rare сalcium and phosphate metabolic disorder. Most often it develops after neck surgery. The recent studies show increased morbidity in thyroid and parathyroid pathology wich are the most common causes of hypoparathyroidism. Thus makes this problem more relevant and urgent. Management of a patient with chronic hypoparathyroidism is based on personalized treatment regimen, disease monitoring and prevention of therapy adverse events.

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Spondyloarthropathy occurring in long-standing idiopathic hypoparathyroidism

Cited by 14 publications

References 9 publications

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Untitled

A rare case of spondyloarthropathy: Iatrogenic hypoparathyroidism

Chronic hypoparathyroidism in adults: clinical features, diagnosis, management and treatment

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