Spondyloarthritis & psoriatic arthritis

Clinical features, treatment, and outcome of isotretinoin-associated sacroiliitis

Arthritis Res TherPublished Retrospective analysis of published case reports

Authors' conclusion

The cessation of isotretinoin therapy, coupled with the administration of NSAIDs, can effectively alleviate the symptoms experienced by patients.

Study context

Population
Patients with isotretinoin-associated sacroiliitis from published clinical reports (median age 21 years; 83.6% from Turkey)
Participants
67 patients
Outcome
Clinical characteristics of isotretinoin-associated sacroiliitis
Methodological detailsliterature database search up to March 31, 2025
  • Literature database search up to March 31, 2025

Main finding

As reported in the abstract

Median age, years (range 14, 44)
21
Patients from Turkey
56 (83.6%)
Median time to sacroiliitis after isotretinoin administration, months (range 0.4, 24)
2.5
Low back pain
70.1%
Hip pain
44.8%
Magnetic resonance imaging (MRI) showing sacroiliitis
73.1%
MRI showing bone marrow edema
34.3%

Observational data: associations, not effects.

Original publication

Clinical features, treatment, and outcome of isotretinoin-associated sacroiliitis. Arthritis Res Ther. Published 26 May 2025. doi:10.1186/s13075-025-03582-z

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