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Does sacroiliitis is a mandatory criterion for enthesitis-related arthritis diagnosis?
Lassoued Ferjani, Hanene; Kharrat, Lobna; Ben Nessib, Dorra; Kaffel, Dhia; Maatallah, Kaouther; Hamdi, Wafa.
Afiliación
  • Lassoued Ferjani H; Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia; Research Unit UR17SP04, Ksar Saïd, 2010 Tunis, Tunisia.
  • Kharrat L; Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia. Electronic address: kharratlobna1992@gmail.com.
  • Ben Nessib D; Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia; Research Unit UR17SP04, Ksar Saïd, 2010 Tunis, Tunisia.
  • Kaffel D; Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia; Research Unit UR17SP04, Ksar Saïd, 2010 Tunis, Tunisia.
  • Maatallah K; Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia; Research Unit UR17SP04, Ksar Saïd, 2010 Tunis, Tunisia.
  • Hamdi W; Rheumatology Department, Kassab Orthopedics Institute, Ksar Saïd, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia; Research Unit UR17SP04, Ksar Saïd, 2010 Tunis, Tunisia.
Reumatol Clin (Engl Ed) ; 20(4): 187-192, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38644029
ABSTRACT
INTRODUCTION AND

OBJECTIVES:

Magnetic resonance imaging (MRI) sensitivity and specificity seem to be less studied in enthesitis-related arthritis (ERA). We aimed to determine the ability of sacroiliac MRI to diagnose ERA patients. MATERIALS AND

METHODS:

We conducted a retrospective study including 44 patients with juvenile idiopathic arthritis (JIA). Each patient had a sacroiliac joint MRI. We divided patients into two groups G1 patients with ERA and G2 patients with non-ERA subtype.

RESULTS:

ERA was noted in 61% of the cases. Sacroiliac joints were painful in 15 patients (34%). MRI was normal in 25 patients (57%) (G111 versus G214) and showed bone marrow edema in the sacroiliac joints in 19 patients (34%) (G1=16 versus G2=3, p=0.005). Sacroiliac joints MRI's sensitivity and specificity in the ERA diagnosis were 61.54% and 82.35%, respectively. Positive and negative predictive values were 84.21% and 58.33%, respectively. Furthermore, sacroiliac joint pain in the clinical examination was able to predict sacroiliac bone edema in MRI with an odds ratio of 6.8 (95% CI 1.68-28.09; p=0.006).

CONCLUSION:

Our study showed that sacroiliac joint MRI has good specificity and positive predictive value in the diagnosis of ERA patients among JIA patients. This underlines the usefulness of sacroiliac joint MRI in the early diagnosis of ERA patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Juvenil / Imagen por Resonancia Magnética / Sensibilidad y Especificidad / Sacroileítis Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Reumatol Clin (Engl Ed) Año: 2024 Tipo del documento: Article País de afiliación: Túnez Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Juvenil / Imagen por Resonancia Magnética / Sensibilidad y Especificidad / Sacroileítis Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Reumatol Clin (Engl Ed) Año: 2024 Tipo del documento: Article País de afiliación: Túnez Pais de publicación: España