Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases
Background: Joint damage is the most frequent extraintestinal manifestation in inflammatory bowel disease (IBD). Aims: The aim of the study was to assess the value of low back pain (LBP) associated with sacroiliitis on abdominal imaging for the diagnosis of spondyloarthritis (SpA) in IBD. Methods: W...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2020-06-01
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| Series: | Inflammatory Intestinal Diseases |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/507930 |
| _version_ | 1818912624132227072 |
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| author | Marine Fauny Nicolas Cohen Caroline Morizot Sophie Leclerc-Jacob Daniel Wendling Guillaume Lux Valérie Laurent Alain Blum Patrick Netter Cédric Baumann Isabelle Chary-Valckenaere Laurent Peyrin-Biroulet Damien Loeuille |
| author_facet | Marine Fauny Nicolas Cohen Caroline Morizot Sophie Leclerc-Jacob Daniel Wendling Guillaume Lux Valérie Laurent Alain Blum Patrick Netter Cédric Baumann Isabelle Chary-Valckenaere Laurent Peyrin-Biroulet Damien Loeuille |
| author_sort | Marine Fauny |
| collection | DOAJ |
| description | Background: Joint damage is the most frequent extraintestinal manifestation in inflammatory bowel disease (IBD). Aims: The aim of the study was to assess the value of low back pain (LBP) associated with sacroiliitis on abdominal imaging for the diagnosis of spondyloarthritis (SpA) in IBD. Methods: We used a questionnaire assessing rheumatological symptoms for all patients with abdominal computed tomography (CT) and magnetic resonance enterography (MRE). Sacroiliitis was assessed on available CT and MRE. Patients were classified as axial SpA according to the Assessment of SpondyloArthritis International Society criteria. Results: Fifty-one patients completed the questionnaire and performed both exams. LBP was present in 27 patients (52.9%), and 10 (19.6%) had an inflammatory component. Sacroiliitis was reported in 12 patients (23.5%), and 6 of them suffered from LBP. Among the 20 patients referred to the rheumatologist, 11 patients suffered from LBP. One patient was HLA-B27 positive and presented sacroiliitis. For the last 10 patients, none of them had a sacroiliitis, and 2 patients were negative for HLA-B27. Conclusion: An axial SpA has been diagnosed in 11.8% of IBD patients undergoing cross-sectional imaging, whereas one-fifth had inflammatory LBP, and sacroiliitis was observed in one-quarter of them. To optimize the diagnosis of axial SpA, HLA-B27 testing might be required for patients with both IBD and LBP, but this will require further investigation before its implementation in routine practice. |
| first_indexed | 2024-12-19T23:17:33Z |
| format | Article |
| id | doaj.art-f7d60627879144748a96f087aa442e37 |
| institution | Directory Open Access Journal |
| issn | 2296-9403 2296-9365 |
| language | English |
| last_indexed | 2024-12-19T23:17:33Z |
| publishDate | 2020-06-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Inflammatory Intestinal Diseases |
| spelling | doaj.art-f7d60627879144748a96f087aa442e372022-12-21T20:02:04ZengKarger PublishersInflammatory Intestinal Diseases2296-94032296-93652020-06-011810.1159/000507930507930Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel DiseasesMarine FaunyNicolas CohenCaroline MorizotSophie Leclerc-JacobDaniel WendlingGuillaume LuxValérie LaurentAlain BlumPatrick NetterCédric BaumannIsabelle Chary-ValckenaereLaurent Peyrin-BirouletDamien LoeuilleBackground: Joint damage is the most frequent extraintestinal manifestation in inflammatory bowel disease (IBD). Aims: The aim of the study was to assess the value of low back pain (LBP) associated with sacroiliitis on abdominal imaging for the diagnosis of spondyloarthritis (SpA) in IBD. Methods: We used a questionnaire assessing rheumatological symptoms for all patients with abdominal computed tomography (CT) and magnetic resonance enterography (MRE). Sacroiliitis was assessed on available CT and MRE. Patients were classified as axial SpA according to the Assessment of SpondyloArthritis International Society criteria. Results: Fifty-one patients completed the questionnaire and performed both exams. LBP was present in 27 patients (52.9%), and 10 (19.6%) had an inflammatory component. Sacroiliitis was reported in 12 patients (23.5%), and 6 of them suffered from LBP. Among the 20 patients referred to the rheumatologist, 11 patients suffered from LBP. One patient was HLA-B27 positive and presented sacroiliitis. For the last 10 patients, none of them had a sacroiliitis, and 2 patients were negative for HLA-B27. Conclusion: An axial SpA has been diagnosed in 11.8% of IBD patients undergoing cross-sectional imaging, whereas one-fifth had inflammatory LBP, and sacroiliitis was observed in one-quarter of them. To optimize the diagnosis of axial SpA, HLA-B27 testing might be required for patients with both IBD and LBP, but this will require further investigation before its implementation in routine practice.https://www.karger.com/Article/FullText/507930sacroiliitisimageryinflammatory bowel diseasespondyloarthritis |
| spellingShingle | Marine Fauny Nicolas Cohen Caroline Morizot Sophie Leclerc-Jacob Daniel Wendling Guillaume Lux Valérie Laurent Alain Blum Patrick Netter Cédric Baumann Isabelle Chary-Valckenaere Laurent Peyrin-Biroulet Damien Loeuille Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases Inflammatory Intestinal Diseases sacroiliitis imagery inflammatory bowel disease spondyloarthritis |
| title | Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases |
| title_full | Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases |
| title_fullStr | Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases |
| title_full_unstemmed | Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases |
| title_short | Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases |
| title_sort | low back pain and sacroiliitis on cross sectional abdominal imaging for axial spondyloarthritis diagnosis in inflammatory bowel diseases |
| topic | sacroiliitis imagery inflammatory bowel disease spondyloarthritis |
| url | https://www.karger.com/Article/FullText/507930 |
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