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脊柱关节炎的诊断成像中的特定问题:银屑病关节炎和青少年脊柱关节炎。

Selected issues in diagnostic imaging of spondyloarthritides: psoriatic arthritis and juvenile spondyloarthritis.

作者信息

Sudoł-Szopińska Iwona, Płaza Mateusz, Pracoń Grzegorz

机构信息

Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

出版信息

Reumatologia. 2016;54(6):310-317. doi: 10.5114/reum.2016.64908. Epub 2016 Dec 30.

Abstract

Spondyloarthritides (also known as spondyloarthropathies) are a group of rheumatic diseases that consists of diversified entities, i.e. ankylosing spondylitis, reactive arthritis, psoriatic arthritis, arthritis in the course of Crohn's disease and ulcerative colitis, and juvenile spondyloarthropathies. In the diagnostics of spondyloarthritides, plain radiography has played a crucial role for years due to its undisputed ability to show distinctive bony changes. Yet as those diseases often manifest themselves by soft tissue pathology and bone marrow inflammation, ultrasonography and magnetic resonance imaging are currently a subject of numerous studies in the quest for setting up diagnostic criteria, especially at early stages of inflammatory processes. In our review, we present an up-to-date insight into classifications, etiopathogenesis and imaging of psoriatic arthritis and juvenile spondyloarthritis.

摘要

脊柱关节炎(也称为脊柱关节病)是一组风湿性疾病,由多种类型组成,即强直性脊柱炎、反应性关节炎、银屑病关节炎、克罗恩病和溃疡性结肠炎病程中的关节炎以及青少年脊柱关节病。在脊柱关节炎的诊断中,普通X线摄影多年来一直发挥着关键作用,因为它显示独特骨质改变的能力无可争议。然而,由于这些疾病常表现为软组织病变和骨髓炎症,目前超声检查和磁共振成像在建立诊断标准的研究中备受关注,尤其是在炎症过程的早期阶段。在我们的综述中,我们对银屑病关节炎和青少年脊柱关节炎的分类、病因发病机制及影像学进行了最新的阐述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a808/5241368/c18dd018a82e/RU-54-29027-g001.jpg

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