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Abstract #1260

Serial observations and correlation of combined sacroiliitis and apophyseal joint inflammation in patients with enthesitis related arthritis.

Tom Amies 1 , Kanimozhi Vendhan 2 , Debajit Sen 3 , Corrine Fisher 3 , Yiannis Ioannou 3 , Paul Humphries 2 , and Margaret Hall-craggs 2

1 Radiology, University College Hospital, London, London, United Kingdom, 2 Radiology, University College Hospital, London, United Kingdom, 3 Rheumatology, University College Hospital, London, United Kingdom

Enthesitis related arthritis (ERA) is a form of juvenile arthritis which presents with a varying degree of apophyseal joint inflammation and/or sacroiliitis. We present a retrospective review of serial MRI scans correlating the changes in apophyseal joint inflammation and sacroiliitis. Images were reviewed independently by two expert MR readers using a global visual assessment and a numerical scoring method. We correlated these findings with the therapeutics the patients were receiving at the time of the scans. We have found that concurrent sacroiliitis and apophyseal joint synovitis in patients with ERA can respond independently of one another whilst on conventional therapy.

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