Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs

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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine

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ISSN: 2084-8404
eISSN: 2451-070X

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VOLUME 17 , ISSUE 70 (September 2017) > List of articles

Imaging of juvenile spondyloarthritis. Part I: Classifications and radiographs

Iwona Sudoł-Szopińska * / Piotr Gietka / Michał Znajdek / Genowefa Matuszewska / Magdalena Bogucevska / Ljubinka Damjanovska-Krstikj / Slavcho Ivanoski

Keywords : juvenile spondyloarthritis, enthesitis-related arthritis, juvenile psoriatic arthritis, reactive arthritis, juvenile ankylosing spondylitis

Citation Information : Journal of Ultrasonography. Volume 17, Issue 70, Pages 167-175, DOI: https://doi.org/10.15557/JoU.2017.0025

License : (CC BY 4.0)

Received Date : 28-May-2017 / Accepted: 18-June-2017 / Published Online: 29-September-2017

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ABSTRACT

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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