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...

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Main Authors: Iwona Sudoł-Szopińska, Piotr Gietka, Michał Znajdek, Genowefa Matuszewska, Magdalena Bogucevska, Ljubinka Damjanovska-Krstikj, Slavcho Ivanoski
Format: Article
Language:English
Published: Sciendo 2017-09-01
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
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author Iwona Sudoł-Szopińska
Piotr Gietka
Michał Znajdek
Genowefa Matuszewska
Magdalena Bogucevska
Ljubinka Damjanovska-Krstikj
Slavcho Ivanoski
author_facet Iwona Sudoł-Szopińska
Piotr Gietka
Michał Znajdek
Genowefa Matuszewska
Magdalena Bogucevska
Ljubinka Damjanovska-Krstikj
Slavcho Ivanoski
author_sort Iwona Sudoł-Szopińska
collection DOAJ
description 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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spelling doaj.art-881aa18d38ae4da8b2e5d4dbddb239f22022-12-22T03:41:52ZengSciendoJournal of Ultrasonography2084-84042451-070X2017-09-01177016717510.15557/JoU.2017.0025Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographsIwona Sudoł-Szopińska0Piotr Gietka1Michał Znajdek2Genowefa Matuszewska3Magdalena Bogucevska4Ljubinka Damjanovska-Krstikj5Slavcho Ivanoski6Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland; Department of Medical Imaging, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, PolandClinic of Pediatrics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Radiology, City General Hospital ,,8th September”, Skopje, MacedoniaUniversity ,,Ss Cyril and Methodius” – University Rheumatology Clinic, Skopje, MacedoniaRadiology Department ,,St. Erasmo” Hospital for Orthopedic Surgery and Traumatology, Skopje, MacedoniaJuvenile 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.http://jultrason.pl/index.php/issues/volume-17-no-70/imaging-of-juvenile-spondyloarthritis-part-i-classifications-and-radiographs?aid=546juvenile spondyloarthritisenthesitis-related arthritisjuvenile psoriatic arthritisreactive arthritisjuvenile ankylosing spondylitis
spellingShingle Iwona Sudoł-Szopińska
Piotr Gietka
Michał Znajdek
Genowefa Matuszewska
Magdalena Bogucevska
Ljubinka Damjanovska-Krstikj
Slavcho Ivanoski
Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
Journal of Ultrasonography
juvenile spondyloarthritis
enthesitis-related arthritis
juvenile psoriatic arthritis
reactive arthritis
juvenile ankylosing spondylitis
title Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
title_full Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
title_fullStr Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
title_full_unstemmed Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
title_short Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs
title_sort imaging of juvenile spondyloarthritis part i classifications and radiographs
topic juvenile spondyloarthritis
enthesitis-related arthritis
juvenile psoriatic arthritis
reactive arthritis
juvenile ankylosing spondylitis
url http://jultrason.pl/index.php/issues/volume-17-no-70/imaging-of-juvenile-spondyloarthritis-part-i-classifications-and-radiographs?aid=546
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AT piotrgietka imagingofjuvenilespondyloarthritisparticlassificationsandradiographs
AT michałznajdek imagingofjuvenilespondyloarthritisparticlassificationsandradiographs
AT genowefamatuszewska imagingofjuvenilespondyloarthritisparticlassificationsandradiographs
AT magdalenabogucevska imagingofjuvenilespondyloarthritisparticlassificationsandradiographs
AT ljubinkadamjanovskakrstikj imagingofjuvenilespondyloarthritisparticlassificationsandradiographs
AT slavchoivanoski imagingofjuvenilespondyloarthritisparticlassificationsandradiographs