Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
Juvenile spondyloarthropathies are manifested mainly by symptoms of peripheral arthritis and enthesitis. By contrast with adults, children rarely present with sacroiliitis and spondylitis. Imaging and laboratory tests allow early diagnosis and treatment. Conventional radiographs visualize late in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2017-09-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/index.php/issues/volume-17-no-70/imaging-of-juvenile-spondyloarthritis-part-i-classifications-and-radiographs?aid=546 |
| Summary: | Juvenile spondyloarthropathies are manifested mainly by symptoms of peripheral arthritis
and enthesitis. By contrast with adults, children rarely present with sacroiliitis and spondylitis.
Imaging and laboratory tests allow early diagnosis and treatment. Conventional
radiographs visualize late inflammatory lesions and post-inflammatory complications.
Early diagnosis is possible with the use of ultrasonography and magnetic resonance imaging.
The first part of the article presents classifications of juvenile spondyloarthropathies
and discusses their radiographic presentation. Typical radiographic features of individual
types of juvenile spondyloarthritis are listed (including ankylosing spondylitis, juvenile
psoriatic arthritis, reactive arthritis and arthritis in the course of inflammatory bowel
diseases). The second part will describe changes visible on ultrasonography and magnetic
resonance imaging. In patients with juvenile spondyloarthropathies, these examinations
are conducted to diagnose inflammatory lesions in peripheral joints, tendon sheaths, tendons
and bursae. Moreover, magnetic resonance imaging also visualizes early inflammatory
changes in the axial skeleton and subchondral bone marrow edema, which is considered
an early sign of inflammation. |
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| ISSN: | 2084-8404 2451-070X |