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

Background, Positive effects of fasting and vegan diet in patients with rhe umatic diseases are reported in the literature. Medical History: We present a 33-year-old patient with double-sided HLA B27-positive sacroiliitis, whi ch was diagnosed by magnetic resonance tomography. Since about 10 years he therefore had pain in the iliosacral region. Numerous sessions of physiothe rapy, a cure treatment, and treatment with sulfasalazine and doxycycline we re not effective. The patient was dependent on the daily intake of the nons teroidal antirheumatics meloxicam 2x7.5 mg and ibuprofen 400-800 mg and the analgetic tramadol 50-150 mg, but evening and night pain and morning stiff ness 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 pe rsistently. After consumption of meat 6 weeks later, complaints worsened. C onsequent vegan diet again resulted in significant improvement of the pain and morning stiffness. At follow-up 3 months after the initial contact, tra madol and ibuprofen intakes had been stopped, meloxicam had been reduced to 1x75 mg. The patient was almost completely free of complaints. Conclusions : It was demonstrated that in a single case of sacroilitiis which was refra ctory to other treatment, vegan diet resulted in a convincingly improvement of complaints.