Abstract
Rheumatoid arthritis (RA) is a chronic, systemic, and inflammatory disease with unknown etiology, involving peripheral synovial joints in addition to its effect on other tissues and organs (1). Although all peripheral joints may be involved in the disease, the metacarpo-phalangeal (MCF) joints, proximal interphalangeal (PIF) joints, wrists, and metatarsophalangeal (MTF) joints are the most frequently involved. In the axial skeleton, C1-C2 involvement is predominant in general, whereas sacroiliac joint involvement (SIJ) is rare (2). In this article, we present a differential diagnosis of bilateral sacroiliitis observed in a patient followed up and treated in our outpatient clinic for 2 years with a diagnosis of early RA.
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