Ansell B M
J R Soc Med. 1981 Dec;74(12):904-8. doi: 10.1177/014107688107401210.
Radiological changes depend on the age of onset as well as the pattern of disease present (Ansell & Kent 1977). Seronegative disease tends to be associated with modelling abnormalities of the epiphyses, loss of joint space and the late development of erosions, although an occasional polyarthritis following systemic disease has a very destructive arthritis and overall failure of growth. Pauciarticular disease is associated with growth anomalies of epiphyses and also metaphyses in asymmetrical fashion. In spondylitic children, enthesiopathies are marked and there is a high incidence of hip involvement. Seropositive juvenile rheumatoid arthritis shows a severe erosive arthropathy early, combined with minor growth changes, particularly bony overgrowth in the hands and feet in the early teens. The hallmark of the psoriatic is the asymmetry and, in a few cases, the destructive nature of asymmetrically involved joints.
放射学改变取决于发病年龄以及所呈现的疾病模式（安塞尔和肯特，1977年）。血清阴性疾病往往与骨骺的塑形异常、关节间隙变窄以及侵蚀的晚期发展相关，尽管全身性疾病后偶尔出现的多关节炎会伴有极具破坏性的关节炎以及整体生长发育障碍。少关节型疾病以不对称的方式与骨骺以及干骺端的生长异常相关。在患脊椎炎的儿童中，附着点病较为明显，且髋关节受累的发生率较高。血清阳性青少年类风湿性关节炎早期表现为严重的侵蚀性关节病，并伴有轻微的生长变化，尤其是在青少年早期手部和足部的骨质过度生长。银屑病关节炎的标志是不对称性，在少数情况下，不对称受累关节具有破坏性。
