Imaging of juvenile spondyloarthritis. Part II: Ultrasonography and magnetic resonance imaging


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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine


ISSN: 2084-8404
eISSN: 2451-070X





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

Imaging of juvenile spondyloarthritis. Part II: Ultrasonography and magnetic resonance imaging

Iwona Sudoł-Szopińska * / Michał Znajdek / Piotr Gietka / Violeta Vasilevska-Nikodinovska / Lukas Patrovic / Vladka Salapura

Keywords : juvenile spondyloarthropathies, ultrasonography, magnetic resonance imaging

Citation Information : Journal of Ultrasonography. Volume 17, Issue 70, Pages 176-181, DOI:

License : (CC BY 4.0)

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



Juvenile spondyloarthropathies are mainly manifested by symptoms of peripheral arthri­tis and enthesitis. Early involvement of sacroiliac joints and spine is exceptionally rare in children; this usually happens in adulthood. Conventional radiographs visualize late inflammatory lesions. Early diagnosis is possible with the use of ultrasonography and magnetic resonance imaging. The first part of the article presented classifications and radiographic presentation of juvenile spondyloarthropathies. This part discusses chang­es seen 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 also shows subchondral bone marrow edema, which is considered an early sign of inflammation. Ultrasonography and magnetic resonance imaging do not show specific lesions for any rheumatic disease. Nevertheless, they are conducted for early diagnosis, treatment monitoring and identifying complications. This article presents a spectrum of inflammatory changes and discusses the diagnostic value of ultrasonography and mag­netic resonance imaging.

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