Correlation between clinical disease activity and sacroiliac magnetic resonance imaging detection in axial spondyloarthropathy.

Autor:	Inan O; Department of Physical Medicine and Rehabilitation, Bursa City Hospital, Bursa, Türkiye., Aytekin E; Department of Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital, Istanbul, Türkiye., Pekin Dogan Y; Department of Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital, Istanbul, Türkiye., Nahit Mutlu I; Department of Radiology, Istanbul Cam and Sakura City Hospital, Istanbul, Türkiye., Aydemir K; Department of Physical Medicine and Rehabilitation, Adıyaman Training and Research Hospital, Adıyaman, Türkiye., Oz N; Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University Faculty of Medicine, Istanbul, Türkiye., Sayiner Caglar N; Department of Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital, Istanbul, Türkiye.
Jazyk:	angličtina
Zdroj:	Archives of rheumatology [Arch Rheumatol] 2024 Jan 29; Vol. 39 (1), pp. 115-122. Date of Electronic Publication: 2024 Jan 29 (Print Publication: 2024).
DOI:	10.46497/ArchRheumatol.2024.10401
Abstrakt:	Objectives: The study aimed to evaluate the correlation between the clinical disease activity of axial spondyloarthropathy (axSpA) and magnetic resonance imaging findings of the sacroiliac joint. Patients and Methods: Thirty-two patients (21 males, 11 females; mean age: 39.3±9.2 years; range, 18 to 55 years) who were diagnosed with axSpA according to the Assessment in Spondyloarthritis International Society classification criteria between November 2015 and August 2017 were included in this cross-sectional study. Visual Analog Scale (VAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Ankylosing Spondylitis Disease Activity Score (ASDAS)-erythrocyte sedimentation rate (ESR), and ASDAS-C-reactive protein (CRP) were used as the indicators of clinical activity. Magnetic resonance imaging of the sacroiliac joint was performed and the Spondyloarthritis Research Consortium of Canada (SPARCC) score was evaluated by a radiologist who was blinded to the clinical and laboratory parameters of the patients. Results: The mean duration of symptom onset was 9.3±7.7 years, and the mean duration of diagnosis was 3.6±2.8 years. Human leukocyte antigen (HLA)-B27 was positive in 16 (50%) patients. There was no correlation between the SPARCC score and VAS, BASDAI, MASES, BASFI, ASDAS-CRP, ASDAS-ESR, ESR, and CRP values (p>0.05). In the HLA-B27 subgroup analyses, a statistically significant correlation was found between HLA-B27-negative patients and SPARCC score (r=0.639, p=0.008). Conclusion: No relationship was found between other clinical disease parameters and sacroiliac joint imaging findings, except for the relationship between the SPARCC and BASDAI in HLA-B27- negative patients with axSpA. Competing Interests: Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article. (Copyright © 2024, Turkish League Against Rheumatism.)
Databáze:	MEDLINE
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