Clinical remission of an HLA B27-positive sacroiliitis on vegan diet
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Clinical remission of an HLA B27-positive sacroiliitis on vegan diet. / Huber, R; Herdrich, A; Rostock, M; Vogel, T.
in: FORSCH KOMP KLAS NAT, Jahrgang 8, Nr. 4, 08.2001, S. 228-31.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Clinical remission of an HLA B27-positive sacroiliitis on vegan diet
AU - Huber, R
AU - Herdrich, A
AU - Rostock, M
AU - Vogel, T
N1 - Copyright 2001 S. Karger GmbH, Freiburg
PY - 2001/8
Y1 - 2001/8
N2 - BACKGROUND: Positive effects of fasting and vegan diet in patients with rheumatic diseases are reported in the literature.MEDICAL HISTORY: We present a 33-year-old patient with double-sided HLA B27-positive sacroiliitis, which was diagnosed by magnetic resonance tomography. Since about 10 years he therefore had pain in the iliosacral region. Numerous sessions of physiotherapy, a cure treatment, and treatment with sulfasalazine and doxycycline were not effective. The patient was dependent on the daily intake of the nonsteroidal antirheumatics meloxicam 2 x 7.5 mg and ibuprofen 400-800 mg and the analgetic tramadol 50-150 mg, but evening and night pain and morning stiffness persisted under this treatment.TREATMENT: We recommended a temporary vegan diet, i.e. to completely avoid animal fats and proteins.COURSE: 3-4 days after changing on vegan diet the complaints improved distinctly and persistently. After consumption of meat 6 weeks later, complaints worsened. Consequent vegan diet again resulted in significant improvement of the pain and morning stiffness. At follow-up 3 months after the initial contact, tramadol and ibuprofen intakes had been stopped, meloxicam had been reduced to 1 x 7.5 mg. The patient was almost completely free of complaints.CONCLUSIONS: It was demonstrated that in a single case of sacroiliitis which was refractory to other treatment, vegan diet resulted in a convincingly improvement of complaints.
AB - BACKGROUND: Positive effects of fasting and vegan diet in patients with rheumatic diseases are reported in the literature.MEDICAL HISTORY: We present a 33-year-old patient with double-sided HLA B27-positive sacroiliitis, which was diagnosed by magnetic resonance tomography. Since about 10 years he therefore had pain in the iliosacral region. Numerous sessions of physiotherapy, a cure treatment, and treatment with sulfasalazine and doxycycline were not effective. The patient was dependent on the daily intake of the nonsteroidal antirheumatics meloxicam 2 x 7.5 mg and ibuprofen 400-800 mg and the analgetic tramadol 50-150 mg, but evening and night pain and morning stiffness persisted under this treatment.TREATMENT: We recommended a temporary vegan diet, i.e. to completely avoid animal fats and proteins.COURSE: 3-4 days after changing on vegan diet the complaints improved distinctly and persistently. After consumption of meat 6 weeks later, complaints worsened. Consequent vegan diet again resulted in significant improvement of the pain and morning stiffness. At follow-up 3 months after the initial contact, tramadol and ibuprofen intakes had been stopped, meloxicam had been reduced to 1 x 7.5 mg. The patient was almost completely free of complaints.CONCLUSIONS: It was demonstrated that in a single case of sacroiliitis which was refractory to other treatment, vegan diet resulted in a convincingly improvement of complaints.
KW - Adult
KW - Diet, Vegetarian
KW - HLA-B27 Antigen/analysis
KW - Humans
KW - Male
KW - Sacroiliac Joint/immunology
KW - Spondylitis, Ankylosing/diet therapy
U2 - 10.1159/000057226
DO - 10.1159/000057226
M3 - SCORING: Journal article
C2 - 11574747
VL - 8
SP - 228
EP - 231
IS - 4
ER -