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OBJECTIVE: To determine the frequency and clinical predictors of sacroiliitis diagnosed by magnetic resonance imaging (MRI) in a psoriatic arthritis (PsA) population. METHODS: The studied comprised 103 patients with PsA. A careful clinical assessment for sacroiliitis was made from history and examination, and HLA-B27 testing was performed. Sixty-eight patients underwent tilted coronal fat-saturated T1-weighted and STIR MRI of the sacroiliac joints. RESULTS: Clinical features of moderate or severe sacroiliitis were found in 24/68 (35%) patients. MRI features of sacroiliitis were found in 26/68 (38%) patients. Clinical features of sacroiliitis were present in 14/42 (33%) with normal MRI scans and 10/26 (38%) with abnormal scans (normal vs abnormal scans, P = 0.7). The presence of sacroiliitis on MRI was associated with restricted spinal movements (P = 0.004) and the duration of PsA (P = 0.04). There was no correlation between HLA-B27 and sacroiliitis diagnosed by MRI. CONCLUSION: Sacroiliitis diagnosed by MRI occurs commonly in PsA but is difficult to detect clinically.

Original publication

DOI

10.1093/rheumatology/keg475

Type

Journal article

Journal

Rheumatology (Oxford, England)

Publication Date

01/2004

Volume

43

Pages

85 - 88

Addresses

Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK. lyn.williamson@smnhst.swest.nhs.uk

Keywords

Sacroiliac Joint, Humans, Arthritis, Psoriatic, HLA-B27 Antigen, Magnetic Resonance Imaging, Prevalence, Predictive Value of Tests, Adult, Aged, Middle Aged, Female, Male