International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 4 | Clinical Image | Open Access

Multiple Bone Infarcts in the Setting of Sjogren’s Syndrome

Jun Li*

Department of Radiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, People’s Republic of China

*Correspondence to: Jun Li 

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A 53-year-old woman presented with multiple pain in right knee, left shoulder and bilateral hip for several months. The patient had been diagnosed with Sjogren’s syndrome based on clinical symptoms of dry mouth, anemia, anti-SSA and anti-Ro-52 antibody results 4 years ago. She had received previous corticosteroid therapy. MRI revealed multiple bone infarcts of the patella, femur, tibia, humeral head and femoral head (Figure. 1), with typical serpiginous margin and double-line sign. Sjogren’s syndrome is a chronic autoimmune disease, which can affect multiple organ systems including vasculitis.[1] Corticosteroid therapy and vasculitis are key factors which lead to bone infarcts. Multiple bone infarcts are relatively rare in the setting of Sjogren’s syndrome. The presence of serpiginous margin and double-line sign on MRI are considered to be highly specific for bone avascular necrosis.[2]



Chunyan Liu, Lulu Liu, Jun Li. Multiple bone infarcts in the setting of Sjogren’s syndrome. Int Clinc Med Case Rep Jour. 2023;2(4):1-2.