PMID- 23599946
OWN - NLM
STAT- MEDLINE
DCOM- 20130903
LR  - 20211021
IS  - 1434-9949 (Electronic)
IS  - 0770-3198 (Linking)
VI  - 32 Suppl 1
DP  - 2013 Mar
TI  - Osteitis pubis ameliorated after tooth extraction: a case report.
PG  - S63-5
AB  - Osteitis pubis is a non-infective inflammation of the symphysis pubis, which is 
      known to be associated with trauma, athletic exertion, urological or 
      gynecological surgery, or with rheumatic conditions such as seronegative 
      spondyloarthropathies. In this report, we describe a case of osteitis pubis whose 
      symptoms were completely ameliorated following tooth extraction attributable to 
      periodontitis. A 57-year-old female patient developed osteitis pubis, presenting 
      with pain in the groin area with an elevated Creactive protein (CRP; 4.4 mg/dl) 
      and radiological erosive changes in symphysis pubis. Prednisolone (5 mg/day) and 
      etodolac were prescribed, but the patient's symptoms improved only partially and 
      remained persistent. One year from the patient's first visit, three teeth were 
      extracted due to severe chronic periodontitis, which she had been suffering from 
      for years. Soon after the above tooth extraction, her symptoms appeared 
      completely resolved, and the patient's CRP was decreased to nearly normal levels 
      in 4 weeks. Human leukocyte antigen (HLA)-typing analysis revealed a positive 
      result for HLA-A11, A24, and B54. Because HLA-B54 cross-reacts with HLA-B27, the 
      patient's osteitis pubis was considered to be a form of reactive arthritis 
      associated with periodontitis.
FAU - Fukushi, Jun-ichi
AU  - Fukushi J
AD  - Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu 
      University, Maidashi 3-1-1, Fukuoka 812-8582, Japan. fukushi@med.kyushu-u.ac.jp
FAU - Nakashima, Yasuharu
AU  - Nakashima Y
FAU - Iwamoto, Yukihide
AU  - Iwamoto Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20100415
PL  - Germany
TA  - Clin Rheumatol
JT  - Clinical rheumatology
JID - 8211469
SB  - IM
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Osteitis/*diagnosis/etiology/surgery
MH  - Periodontitis/complications/*pathology/surgery
MH  - Pubic Symphysis/diagnostic imaging/*pathology
MH  - Radiography
MH  - *Tooth Extraction
MH  - Treatment Outcome
EDAT- 2013/04/20 06:00
MHDA- 2013/09/04 06:00
CRDT- 2013/04/20 06:00
PHST- 2013/04/20 06:00 [entrez]
PHST- 2013/04/20 06:00 [pubmed]
PHST- 2013/09/04 06:00 [medline]
AID - 10.1007/s10067-010-1451-1 [doi]
PST - ppublish
SO  - Clin Rheumatol. 2013 Mar;32 Suppl 1:S63-5. doi: 10.1007/s10067-010-1451-1. Epub 
      2010 Apr 15.