Spondylarthropathies (including psoriatic arthritis): 244. Validity of Colour Doppler and Spectral Doppler Ultrasound of Sacroilicac Joints Againts Physical Examination as Gold Standard

Autor: Castillo-Gallego, Concepcion, de Miguel Mendieta, Eugenio, Garcia-Arias, Miriam, Plasencia-Rodriguez, Chamaida, Lojo-Oliveira, Leticia, Martin-Mola, Emilio, Tillett, William, Cavill, Charlotte, Korendowych, Ellie, McHugh, Neil, Coates, Lucy, Bhalla, Ashok K., Creamer, Paul, Packham, Jon, Hailwood, Sarah, Taylor, Gordon, Hamilton, Louise, Brooksby, Alan, Leeder, Jane, Gaffney, Karl, Malipeddi, Aruna S., Neame, Rebecca, Francis, James, Hassan, Waji, Mease, Philip, Olds, Michele, Kary, Sonja, Kupper, Hartmut, Bell, Carolyn, Peffers, Gill, Rees, Frances, Lanyon, Peter, Obrenovic, Karen, Sandhu, Ravinder, Packham, Jonathan, Erb, Nicola, Coates, Laura C., Conaghan, Philip, Emery, Paul, Green, Michael, Ibrahim, Gamal, MakIver, Helen, Helliwell, Philip, Giles, Joanna L., McHugh, Kirsty, DiGleria, Katilin, Shaw, Jackie, Kollnberger, Simon, Maenaka, Katsumi, Marroquin, Osiris, Renner, Christoph, Bowness, Paul, Landewe, Robert, Ritchlin, Christopher, Guérette, Benoit, Lavie, Frederic, Kavanaugh, A., McInnes, I., Krueger, G. G., Gladman, D., Zrubek, J., Goldstein, N., Xu, S., Mudivarthy, S., Mack, M., Prevosto, Claudia, McDonald, Sarah, De Riva, Alessandra, Goodman, Reyna, Key, Tim, Hill Gaston, J S., Deery, Michael J., Busch, Robert, Fischer, Roman, Wright, Cynthia, Kessler, Benedikt, Sheehy, Claire, Jois, Ramesh N., Kerrigan, Nicola, Mills, Karen S., Somerville, Margaret, Scott, David G., van der Heijde, D., Chattopadhyay, Chandra, Mease, P., Xu, W., Rahman, M. U., Baratelle, A., Beutler, A., Stober, Carmel B., Benham, Helen J., Goodall, Jane C., Hill Gaston, J.S., Sanyal, Kaushik, Walker-Bone, Karen, Helliwell, Philip S., Vastesaeger, N., Wang, Y., Inman, R., Deodhar, A., Hsu, B., Dijkmans, B., Braun, J., Geusens, P., Sieper, J., El Miedany, Yasser, Palmer, Deborah, Shaw, Jacqueline, Payeli, Sravan, Utriainen, Lotta, Milling, Simon
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Popis: Background: Sacroiliac joints (SJ) involvement is a distinctive and charasteristic feature of Spondyloarthritis (SpA) and x-ray is the test routinely used to make a diagnosis. However, x-ray reveals late structural damage but cannot detect active inflammation. The objective of this study was to assess the validity of Doppler ultrasound in SJ. Methods: Prospective blinded and controlled study of SJ, in which three populations were compared. We studied 106 consecutive cases, who were divided into three groups: a) 53 patients diagnosed with SpA who had inflammatory lumbar and gluteal pain assessed by a rheumatologist; b) 26 patients diagnosed with SpA who didn't have SJ tenderness and had normal physical examination; c) control group of 27 subjects (healthy subjetcs or with mechanical lumbar pain). All patients included that were diagnosed with SpA met almost the European Spondyloarthropathy Study Group (ESSG) classification criteria. Physical examination of the SJ included: sacral sulcus tenderness, iliac gapping, iliac compression, midline sacral thrust test, Gaenslen's test, and Patrick s test were used as gold standard. Both SJ were examined with Doppler ultrasound (General Electric Logiq 9, Wauwatosa WI, USA) fitted with a 9-14 Mhz lineal probe. The ultrasonographer was blinded to clinical data. Doppler in SJ was assessed as positive when both Doppler colour and resistance index (RI)
Databáze: OpenAIRE