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
Radiology, University College Hospital,
London, London, United Kingdom,
University College Hospital, London, United Kingdom,
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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