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Sacroiliitis and severe disability due to isotretinoin therapy.

Abstract
We report a case of acute sacroiliitis with severe disability after only 3 weeks of isotretinoin therapy with graduate reduction of pain, limitation and muscle incompetence after discontinuation of the drug and ACTH-depo injection and Ethodolac therapy. Naranjo probability scale indicated a probable relationship between isotretinoin therapy and bilateral sacroiliitis. We discussed possible mechanisms of sacroiliitis and disability due to isotretinoin treatment.
AuthorsAlexander P Rozin, Olga Kagna, Yizhak Shiller
JournalRheumatology international (Rheumatol Int) Vol. 30 Issue 7 Pg. 985-6 (May 2010) ISSN: 1437-160X [Electronic] Germany
PMID19533139 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Inflammatory Agents, Non-Steroidal
  • Dermatologic Agents
  • Etodolac
  • Adrenocorticotropic Hormone
  • Isotretinoin
Topics
  • Acne Vulgaris (drug therapy)
  • Adrenocorticotropic Hormone (therapeutic use)
  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
  • Arthralgia (chemically induced, pathology, physiopathology)
  • Arthritis (chemically induced, pathology, physiopathology)
  • Dermatologic Agents (adverse effects)
  • Disability Evaluation
  • Edema (chemically induced, pathology)
  • Etodolac (therapeutic use)
  • Humans
  • Iatrogenic Disease (prevention & control)
  • Isotretinoin (adverse effects)
  • Low Back Pain (chemically induced, pathology, physiopathology)
  • Magnetic Resonance Imaging
  • Male
  • Muscle Weakness (etiology, physiopathology)
  • Radiography
  • Sacroiliac Joint (diagnostic imaging, drug effects, pathology)
  • Treatment Outcome
  • Whole Body Imaging (methods)

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