| Lumbosacral radiographic signs in patients with previous enteroarthritis or uroarthritis. | |
| | |
MedLine Citation:
|
PMID: 15539414 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To investigate if there are differences in radiological findings in lumbosacral spine radiographs between different subgroups of patients with previous reactive arthritis. METHODS: 95 patients with previous enteroarthritis (n = 53), uroarthritis (n = 37), or Reiter's syndrome, aetiology unknown (n = 5) were included in the study. Lumbosacral radiographs were taken 7 to 38 years after the initial arthritis. Three independent observers read the radiographs. Spinal changes included squaring of vertebrae, Romanus lesions, syndesmophytes, and osteophytes. Sacroiliitis was recorded according to the New York and Stoke methods. Signs of enthesitis in the iliac crest and disc space narrowing were recorded. Interobserver reliability and intraobserver reproducibility were determined. RESULTS: 23% of patients had grade 2-4 sacroiliitis (New York criteria) and 14% had syndesmophytes. There was more frequent sacroiliitis (32% v 13%) in uroarthritis than in enteroarthritis, and more syndesmophytes (mean 0.54 v 0.15 per patient; prevalence 24% v 6%, respectively). In other radiological features, no significant differences were present between the groups. In the material as a whole, patients with sacroiliitis of grade 2 or more had significantly less disc space narrowing both in patient comparisons (chi(2) test) and in numbers of spaces involved (Mann-Whitney test). Interobserver and intraobserver agreement, calculated using Cohen's kappa method, varied from 0.2 to 1. CONCLUSIONS: Syndesmophytes and sacroiliitis are more common in patients with previous uroarthritis than in those with previous enteroarthritis, but radiological findings in lumbosacral spine radiographs are characteristically similar. |
| | |
Authors:
|
A Mannoja; J Pekkola; M Hämäläinen; M Leirisalo-Repo; L Laasonen; L Kivisaari |
Related Documents
:
|
15512294 - The joint vulval clinic: a review of the first three years. 14770094 - Comorbid conditions in patients with rheumatic diseases: an update. 10664304 - The active straight leg raising test and mobility of the pelvic joints. 1955014 - Bronchiolitis obliterans organizing pneumonia and rheumatoid arthritis. 22594354 - A new improved accelerated diagnostic protocol safely identifies low-risk patients with... 1600844 - Fungal keratitis in saudi arabia. |
Publication Detail:
|
Type: Journal Article Date: 2004-11-11 |
Journal Detail:
|
Title: Annals of the rheumatic diseases Volume: 64 ISSN: 0003-4967 ISO Abbreviation: Ann. Rheum. Dis. Publication Date: 2005 Jun |
Date Detail:
|
Created Date: 2005-05-17 Completed Date: 2005-07-11 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 0372355 Medline TA: Ann Rheum Dis Country: England |
Other Details:
|
Languages: eng Pagination: 936-9 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Helsinki University Central Hospital, Marjatie 6b, FIN-00780 Helsinki, Finland. antti.mannoja@helsinki.fi |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Arthritis, Reactive / complications, radiography Enteritis / complications* Female Follow-Up Studies Humans Male Middle Aged Observer Variation Reproducibility of Results Sacroiliac Joint / pathology, radiography* Severity of Illness Index Spondylarthropathies / microbiology*, pathology, radiography Urinary Tract Infections / complications* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: CARD15 gene polymorphisms in patients with spondyloarthropathies identify a specific phenotype previ...
Next Document: Analysis of the CD8+ T cell response to the G1 domain of aggrecan in ankylosing spondylitis.