Clinical remission of an HLA B27-positive sacroiliitis on vegan diet

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 -