Traumaandseronegative spondyloarthropathy SIR,Olivieri andhiscolleagues reporttheapparent precipitation ofseronegative spondyloarthropathy
2011
by physical injury.' Thefirst casecaneasily beexplained as theonset ofareactive arthritis following gastrointestinal infection while inhospital. Itisextremely interesting that themother ofthat individual hadwhatsounds verymuch like ankylosing spondylitis. Thesecond patient maywell be apatient withintermittent hydroarthrosis oftheknees related totheB27arthropathy. Traumabeing acommon event inlife, itmaysimply berelated stochastically tothe effusion andnotcausally. Thecoincidence oftwoevents doesnotimply causality andgreat caution should beexercised inattributing such a causality asthere aremajorlegal implications incases of compensation duetoinjury atworkorelsewhere. Rheumatology Unit
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