MR imaging adds weight to sacroiliitis diagnosis
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چکیده
Early diagnosis of rheumatoid arthritis and monitoring of the disease during therapy have attracted considerable interest over the past decade. Imaging studies of seronegative spondyloarthropathies, however, are few and far between, even though these disorders occur as frequently as rheumatoid arthritis. Now the potential promise of biological therapy to treat ankylosing spondylitis, one of the most disabling seronegative spondyloarthropathies, is focusing attention on techniques capable of detecting the disease early and tracking its progress through treatment.
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Magnetic resonance imaging (MRI) of the sacroiliac joints (SIJs) has become established as a valuable modality for the early diagnosis of sacroiliitis in patients with inconclusive radiographic findings. Positive MRI findings have the same significance as a positive test for HLA-B27. Sacroiliitis is one of the key features of axial spondyloarthritis (SpA) in the classification proposed by the A...
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Pyogenic sacroiliitis is exceptional in very young children. Diagnosis is difficult because clinical examination is misleading. FABER test is rarely helpful in very young children. Inflammatory syndrome is frequent. Bone scintigraphy and MRI are very sensitive for the diagnosis. Joint fluid aspiration and blood cultures are useful to identify the pathogen. Appropriate antibiotic therapy provide...
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Pyogenic sacroiliitis (PS) is an acute form of sacroiliitis that mostly starts with very painful buttock pain. Here in this case, the followup magnetic resonance (MR) images of a 49-year-old male patient with PS is displayed. After his sacroiliitis was documented by MR images, he was treated with the combination of rifampicin plus streptomycin and moxifloxacin. Serial MR investigations were don...
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تاریخ انتشار 2017