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2017 | 17 | 70 | 167–175
Article title

Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs

Content
Title variants
PL
Diagnostyka obrazowa młodzieńczych spondyloartropatii. Część I: Klasyfikacje i radiogramy
Languages of publication
EN
Abstracts
EN
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.
PL
Młodzieńcze spondyloartropatie manifestują się przede wszystkim objawami zapalenia stawów obwodowych i entez. W przeciwieństwie do chorych dorosłych u dzieci wyjątkowo rzadko dochodzi do zajęcia stawów krzyżowo-biodrowych i kręgosłupa. Wykonanie badań radiologicznych i laboratoryjnych pozwala na wczesne rozpoznanie i włączenie leczenia. Tradycyjne radiogramy obrazują późne zmiany zapalne oraz powikłania procesu zapalnego. Wczesne rozpoznanie jest możliwe w badaniu ultrasonograficznym i rezonansie magnetycznym. W pierwszej części artykułu przedstawiono klasyfikacje młodzieńczych spondyloartropatii oraz omówiono ich obraz radiograficzny. Wymieniono charakterystyczne cechy poszczególnych młodzieńczych spondyloartropatii, w tym młodzieńczego zesztywniającego zapalenia stawów kręgosłupa, młodzieńczego łuszczycowego zapalenia stawów, reaktywnego zapalenia stawów oraz zapalenia w przebiegu nieswoistych zapaleń jelit. W drugiej części zostaną omówione zmiany w badaniu ultrasonograficznym i rezonansie magnetycznym. U pacjentów z młodzieńczymi spondyloartropatiami badania te są wykonywane w diagnostyce zmian zapalnych stawów obwodowych, pochewek ścięgnistych i ścięgien oraz kaletek. W rezonansie widoczne są ponadto wczesne zmiany zapalne w kręgosłupie osiowym oraz obrzęk szpiku, uznawany za wczesny objaw zapalenia. Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/index.php/wydawnictwa/volume-17-no-70
Discipline
Publisher

Year
Volume
17
Issue
70
Pages
167–175
Physical description
Contributors
  • Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland; Department of Medical Imaging, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland, sudolszopinska@gmail.com
author
  • Clinic of Pediatrics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
  • Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
  • Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland
  • Department of Radiology, City General Hospital ,,8th September”, Skopje, Macedonia
  • University ,,Ss Cyril and Methodius” – University Rheumatology Clinic, Skopje, Macedonia
  • Radiology Department ,,St. Erasmo” Hospital for Orthopedic Surgery and Traumatology, Skopje, Macedonia
References
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Document Type
article
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.psjd-05201c4a-3b93-4c7a-be68-d1deed6d44f9
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