Enteropathic arthritis in the sacroiliac joint. Imaging and differential diagnosis

A. Mester, E. Makó, K. Karlinger, Tamás Györke, Zsolt Tarján, Erika Márton, Katalin Kiss

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objectives: A new high resolution computed tomography (HRCT) scoring system of sacroiliac joint (SIJ) involvement in enteropathic arthritis is introduced. Patients and methods: SIJ's of 100 patients were studied. A total of 25 patients presented with pain syndrome, 25 with suspicious seronegative spondylarthritis, 25 with inflammatory bowel diseases and 25 without joint or bowel diseases, as a control group. HRCT was carried out in all 100 patients. For comparison, a plain film radiography (PFR), conventional CT (slices of 10 mm) and bone scan were used. Results: Quantitative differences: In the pain syndrome group, there were no erosions identified neither intraarticular calcifications. Disc degeneration was seen in 12/25 cases. In 4/25 patients, vacuum phenomena appeared in the SIJ. In 3/25 patients, ventral capsular calcification occurred in the ventral sacroiliac ligament (anterior capsule complex). In the seronegative spondylarthritis group, 16/25 patients had positive findings, while PFR documented erosions only in 3/25 cases. In the bowel diseases group, erosions were detected in 17/25 cases with HRCT, while the plain film was positive only in three cases and in seven cases the findings were questionable. Intraarticular calcification with erosion was documented in three cases and in seven cases without erosion. The bone scan was positive in 7/25 of this cases, but in 5/7 there was mismatching with HRCT. Important new finding was the HRCT detected erosion which was not detected on BS but was obvious on Anti-Granulocyte-Antibody scintigraphy. In the control group, only degenerative changes were seen in 4/25 cases and no erosions. Conclusion: HRCT is: (1) the reliable imaging of definitive (often 'cold stage') sacroileitis; (2) gives optimal detection of erosion; and (3) appears to be the only method in the documentation of calcifications in the posterior ligamental portion of the SIJ. (C) 2000 Elsevier Science Ireland Ltd.

Original languageEnglish
Pages (from-to)199-208
Number of pages10
JournalEuropean Journal of Radiology
Volume35
Issue number3
DOIs
Publication statusPublished - Sep 2000

Fingerprint

Sacroiliac Joint
Arthritis
Differential Diagnosis
Tomography
Spondylarthritis
Motion Pictures
Radiography
Intervertebral Disc Degeneration
Bone and Bones
Pain
Control Groups
Vacuum
Inflammatory Bowel Diseases
Ligaments
Granulocytes
Radionuclide Imaging
Documentation
Capsules
Anti-Idiotypic Antibodies
Joints

Keywords

  • Arthritis
  • Crohn's disease
  • Erosion
  • Inflammatory bowel diseases
  • Sacroiliac joint

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Enteropathic arthritis in the sacroiliac joint. Imaging and differential diagnosis. / Mester, A.; Makó, E.; Karlinger, K.; Györke, Tamás; Tarján, Zsolt; Márton, Erika; Kiss, Katalin.

In: European Journal of Radiology, Vol. 35, No. 3, 09.2000, p. 199-208.

Research output: Contribution to journalArticle

Mester, A. ; Makó, E. ; Karlinger, K. ; Györke, Tamás ; Tarján, Zsolt ; Márton, Erika ; Kiss, Katalin. / Enteropathic arthritis in the sacroiliac joint. Imaging and differential diagnosis. In: European Journal of Radiology. 2000 ; Vol. 35, No. 3. pp. 199-208.
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