BILATERAL SACROILIAC MILKMAN FRACTURE AND SACROİLİİTİS: CASE REPORT
Osteomalaciais a metabolic disease, which is characterized with impaired bone mineralization, and which mimics other rheumatic diseases due to its clinical signs. Diffused pain, proximal muscle weakness, and paresthesia are among its clinical signs. In this case report, we presented the female patient, who applied to our outpatient clinic with low back pain, and who was detected to have bilateral sacroiliac milkman fracture due to osteomalacia in examinations previously performed with pre-diagnosis of spondyloarthritis.
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- 1. Fiziksel Tıp ve Rehabilitasyon; Beyazova M , Kutsal YG , 2.baskı, 2.cilt, 2661.sf
2. Arya V, Jain V. Osteomalacia-what the rheumatologist needs to know. Indian J Rheumatol.
2007;2: 17-22.
3. Gerster JC, Saudan Y, Strub-Mayor F, Guggi S. Sacroiliac changes, HLA-B27 negative, in
primary hyperparatyroidisim and osteomalacia. Schweiz Med Wochenschr. 1979; 109: 1035-40
4. Haberhauer G, Skoumal M, Dunky A. Atipical Axial Osteomalasia HLA B27(-) elderly
female patient without features of sacroiliitis Clin Exp. Rheumatol. 2005:23:726-727
5. Nakipoğlu GF, Karamercan A, Karagöz A, Özgirgin N. Spondiloartropatik özellik gösteren
bir osteomalazi olgusu. Romatoloji. 2003;18:32-36
6. Nelson AM, Riggs BL, Jowsey JO. Atipical axial osteomalasia: Report of four cases with
two having features of spondylitis. Arthritis Rheum. 1978;21: 715-22.
7. Frost HM, Frame B, Ormond RS, Hunter RB. Atypical axial Osteomalacia A Report of
three cases. Clinical Orthopoedics. 1962; 23:283-95
8. Gaucher A, Thomas JL, Netter P, Faure G. Osteomalacia pseudosacroileitis and necrosis of
the femoral heads in Fanconi syndrome in an adult. J Rheumatol. 1981; 8: 512-5.
9. Akkuş S, Numan Tamer M, Yorgancıgil H. A case of osteomalasia mimicking ankylosing
spondylitis. Rheumatol Int. 2001;20: 239-242
10. Şahin F, Kotevoğlu N, Kuran B. Sakroileit ile kendini gösteren iki osteomalazi olgusu.
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2004; 50: 87-89.
11. Sarıyıldız M A, Batmaz İ, Okçu M, Akar Z A. Spondiloartropatiyi taklit eden osteomalazi
olgusu: Sakroiliak eklemde Milkman Fraktürü. J PMR Sci 2013:16;77-80
Journal of Anatolian Medical Research 2017; 2(1): 31-35
Vaka
sunumu
35
12. Onur Ö, Çeliker R, Çetin A, Alikaşifoğlu A, Uğur Ö, Başgöze O. Hypophosphatemic
rickets with sacroiliitis-like presentation in an adolescent. Case Report. Scandinavian Journal
of Rheumatology. 1997; 26:332-335.
13. Özekli Mısırlıoğlu T, Akgün K. A case of Osteomalacia Mimicking Spondyloarthritis.
Turkish journal of physical medicine and rehabilitation. 2013; 59: 363-365
14. Reginato AJ, Falasca GF, Pappu R, et al. Muskuletal manıfestations of osteomalacia:
Report of 26 cases andliterature review. Semin Arthritis Rheum 1999; 28: 287-304.
15. Güzel R, Kozanoğlu E, Güler Uysal F, et al. Vitamin D status and bone mineral density of
veiled and unveiled Turkish women. J Womens Health Gend Based Med. 2001; 10: 765-70.
16. Alagöl F, Shihadeh Y, Boztepe H, et al Sunligth exposure and vitamin D deficiency in
Turkish women. J Endocrinol Invest. 2000; 23: 173-7.
17. Güllü S, Erdogan MF, Uysal AR, et al. A potential risk for osteomalacia due to
sociocultural lifestyle in Turkish women. Endocr J. 1998; 45: 675-78.
18. Gannage-Yared MH, Chemali R, Yaacoub N, Halaby G. Hypovitaminosis D in a sunny
country: Relation to lifestyle and bone markers. J Bone Miner Res 2000; 15: 1856-62.
19. Kohlmeier LA, Federman M, Leboff MS. Osteomalacia and osteoporosis in a women with
ankylosing spondylitis. J Bone Miner Res 1996; 11: 697-703.
20. Chodirker BN, Evans JA, Lewis M, et al. Infantile hypophosphatasia -linkage with the RH
locus. Genomics. 1987;1:280-2.
21. El Mahou S, Moineuse C, Navaux F, Cantagrel A, Mazieres B, Laroche M. Osteomalacia
and sacroiliitis. Joint Bone Spine. 2003;70:310-2.