Terapevticheskii arkhivTerapevticheskii arkhiv0040-36602309-5342LLC Obyedinennaya Redaktsiya3293710.26442/00403660.2019.01.000035Research ArticleDifferential radiological diagnosis of tuberculous sacroiliitis and bone involvement in Gaucher disease: a clinical caseSolovevaA Asolov136@mail.ruPonomarevR V-LukinaK A-MamonovV E-KhomenkoV A-KostinaI E-YatsykG A-LukinaE A-National Research Center for Hematology of the Ministry of Health of the Russian FederationFederal Research Central for Tuberculosis15012019911848811042020Copyright © 2019, Consilium Medicum2019Differential diagnosis of bone involvement in patients with Gaucher disease can be challenging. Other diseases with similar radiological signs should be ruled out. Here we present a clinical case of tuberculous sacroiliitis in the patient with type I Gaucher disease. Advanced radiological methods of examination are described. Our case report proves the necessity of an individual approach to the management of such cohort of patients.Gaucher diseasetuberculosis of bones and jointsdifferential diagnosiscomprehensive treatmentболезнь Гошетуберкулез костей и суставовдифференциальная диагностикакомплексное лечение[Лукина Е.А. Болезнь Гоше. М.: Литера; 2011:54.][Futerman A.H, Zimran A. eds. Gaucher Disease. Taylor & Francis Group, LLC; 2007;528.][Zimran A, How I treat Gaucher disease. Blood. 2011 Aug 11;118(6):1463-71. doi: 10.1182/blood-2011-04-308890][Лукина Е.А., Мамонов В.Е., Лукина К.А., Хоменко В.А., Писецкий М.М., Яцык Г.А. Туберкулезный сакроилеит у пациента с болезнью Гоше. Терапевтический архив. 2013;85(7):87-9.][Кульчавеня Е.В., Жукова И.И. Внелегочный туберкулез - вопросов больше, чем ответов. Туберкулез и болезни легких. 2017;95(2):61. doi:http://dx.doi.org/10.21292/2075-1230-2017-95-2-59-63][Wenstrup R.J, M Roca-Espiau, Weinreb N.J, Bembi B. Skeletal aspects of Gausher disease: a review. Brit J Radiology. 2002;75(Suppl 1):2-12. doi: 10.1259/bjr.75.suppl_1.750002][Maas M, Poll L.W, Terk M.R. Imaging and quantifying skeletal involvement in Gaucher disease. Br J Radiol. 2002;75(Suppl 1):13-24. doi: 10.1259/ bjr.75.suppl_1.750013][Брюханов А.В., Васильев А.Ю. Магнитно - резонансная томография в остеологии. М.: Медицина; 2006:109-115.]