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eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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5/2018
vol. 56
 
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abstract:
Original paper

All that glitters is not gold: sacroiliitis

Alfredo Tarantino
,
Justyna Paulina Jablonska
,
Paola D’Aprile

Reumatologia 2018; 56, 5: 289-293
Online publish date: 2018/10/31
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Objectives
The aim of this study was to determine the prevalence of „rheumatic” and „non-rheumatic” changes of the sacro-iliac joints (SIJ).

Material and methods
We performed MRI in 210 patients with suspected inflammatory low back pain. We sorted and analysed the characteristics of sacroiliac bone lesions in „rheumatic” and „non-rheumatic” patients and assessed the diagnostic values of their extent and location. SIJ lesions were classified on the basis of their location into two categories: unilateral and bilateral. Their extent was then measured and assigned to one of two groups: <1 cm or ≥ 1 cm.

Results
In 45 cases (21%), the MRI findings matched the clinical diagnosis of „rheumatic” sacroiliitis. Interestingly, in 99 cases (47%) the SIJ changes were classified as „non-rheumatic”. L5–S1 degenerative changes, scoliosis and pelvic asymmetry were most frequently encountered as concomitant phenomena in our study.

Conclusions
MRI of the sacroiliac joints in patients suspected of inflammatory low back pain demonstrated more often “non-rheumatic” changes.

keywords:

rheumatic diseases, magnetic resonance imaging, sacroiliitis







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