Magnetic resonance imaging sacroiliitis in early diagnosis of spondyloarthritis
Keywords:
espondiloartritis, sacroileítis, resonancia magnéticaAbstract
Introduction: Magnetic resonance imaging has become the most relevant imaging study for early diagnosis of spondyloarthritis, allowing identification of the initial inflammatory process before structural damage occurs.
Objective: To identify the presence of sacroiliitis by magnetic resonance imaging in the early diagnosis of spondyloarthritis.
Material and Methods: A descriptive cross-sectional study was carried out, which included 50 patients with clinical manifestations of spondyloarthritis according to the Assessment of Spondylo Arthritis International Society criteria, with a high-field magnetic resonance imaging study of the sacroiliac joints (3 Tesla). The presence of active sacroiliitis and chronic structural lesions was determined. Active sacroiliitis was associated with the clinical manifestations, inflammatory marker and inflammatory activity of the disease.
Results: With a mean age of 31.24 ± 7.9 years, 76 % were male. Sacroiliitis was present in 41 (82 %) of the studied patients; 38 (76 %) of these showed active sacroiliitis (bone edema), structural lesions were less frequently evidenced: sclerosis in 4 patients (8 %), erosions in 8 (16 %) and bridges 4 (8 %). The most frequent clinical characteristics were: inflammatory low back pain, enthesitis and arthritis.
Conclusions: Patients with an early diagnosis of spondyloarthritis presented a high frequency of sacroiliitis, showing an association with enthesitis, C-reactive protein, and inflammatory activity.Downloads
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