Osteitis pubis ameliorated after tooth extraction: A case report

Jun Ichi Fukushi, Yasuharu Nakashima, Yukihide Iwamoto

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)63-65
Number of pages3
JournalClinical Rheumatology
Volume32
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Jan 1 2013

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Pubic Bone
Osteitis
Tooth Extraction
HLA Antigens
Periodontitis
Etodolac
Spondylarthropathies
Reactive Arthritis
Chronic Periodontitis
Gynecologic Surgical Procedures
Groin
Prednisolone
Sports
Tooth
Inflammation
Pain
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Rheumatology

Cite this

Osteitis pubis ameliorated after tooth extraction : A case report. / Fukushi, Jun Ichi; Nakashima, Yasuharu; Iwamoto, Yukihide.

In: Clinical Rheumatology, Vol. 32, No. SUPPL. 1, 01.01.2013, p. 63-65.

Research output: Contribution to journalArticle

Fukushi, Jun Ichi ; Nakashima, Yasuharu ; Iwamoto, Yukihide. / Osteitis pubis ameliorated after tooth extraction : A case report. In: Clinical Rheumatology. 2013 ; Vol. 32, No. SUPPL. 1. pp. 63-65.
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