Destructive noninfectious spondyloarthropathy in a hemodialysis patient

  • Arbey Aristizabal-Alzate
  • Kelly Johanna Betancur-Salazar
  • John Fredy Nieto-Ríos
  • Catalina Ocampo-Kohn
  • Dahyana Cadavid-Aljure
  • Martin Ochoa-Escudero
  • Gustavo Zuluaga-Valencia
  • Lina María Serna Higuita Eberhard Karls University, Institute for Clinical Epidemiology und Applied Biometrics, Tuebingen, Germany.

Abstract

Destructive spondyloarthropathy is an osteoarticular complication in patients with chronic kidney disease. This condition most commonly affects the cervical and dorsal spine. It can be asymptomatic up to cause severe pain, and lead to complications that can threaten the integrity of the vertebral column and the life. Here, we present the case of a 70-year-old man with chronic end-stage renal disease on hemodialysis who was consulted for dorsal pain and paraplegia. It was diagnosed as noninfectious destructive spondyloarthropathy by imaging and histopathologic examination. The case highlights the importance of making an early diagnosis and following a multidisciplinary approach to the management of the disease.

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Author Biographies

Arbey Aristizabal-Alzate

Departamento de Nefrología y Trasplante Renal Hospital Pablo Tobón Uribe, Medellín Colombia

Kelly Johanna Betancur-Salazar

Departamento de Medicina Interna, Universidad Pontificia Bolivariana. Medellín Colombia.

John Fredy Nieto-Ríos

Departamento de Nefrología y Trasplante Renal Hospital Pablo Tobón Uribe, Medellín Colombia.

Departamento de Medicina Interna, Sección Nefrología, Universidad de Antioquia. Medellín Colombia.

Catalina Ocampo-Kohn

Departamento de Nefrología y Trasplante Renal Hospital Pablo Tobón Uribe, Medellín Colombia

Departamento de Medicina Interna, Sección Nefrología, Universidad de Antioquia. Medellín Colombia.

Dahyana Cadavid-Aljure

Departamento de Nefrología y Trasplante Renal Hospital Pablo Tobón Uribe, Medellín Colombia

Martin Ochoa-Escudero

Departamento de Radiología Hospital Pablo Tobón Uribe, Medellín Colombia

Gustavo Zuluaga-Valencia

Departamento de Nefrología y Trasplante Renal Hospital Pablo Tobón Uribe, Medellín Colombia

Lina María Serna Higuita, Eberhard Karls University, Institute for Clinical Epidemiology und Applied Biometrics, Tuebingen, Germany.

Instituto de epidemiología clínica y biometría aplicada

Facultad de Medicina

Hospital Universitario de Tübingen

Published
2021-05-10
How to Cite
Aristizabal-Alzate, A., Betancur-Salazar, K. J., Nieto-Ríos, J. F., Ocampo-Kohn, C., Cadavid-Aljure, D., Ochoa-Escudero, M., Zuluaga-Valencia, G., & Serna Higuita, L. M. (2021). Destructive noninfectious spondyloarthropathy in a hemodialysis patient. Acta Medica Colombiana, 47(1). https://doi.org/10.36104/amc.2022.2193

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