Magnetic resonance imaging findings of sacroiliitis in patients with psoriasis

J Clin Exp Invest 2013;4(2):199-203.

https://doi.org/10.5799/ahinjs.01.2013.02.0265

OPEN ACCESS

Download Full Text (PDF)

Abstract

Objectives: The aim of this study was to determine the frequency and characteristic magnetic resonance (MR) imaging features of sacroiliitis in patients with psoriasis disease.
Methods: A total of 68 patients who diagnosed with pso­riasis in Dermatology department of our hospital between February-2012 and February-2013 were included to our study. All patients were underwent bilateral sacroiliac MR. MR study were performed with the sequences of the coro­nal T1 weighted turbo spin-echo, T2 weighted and STIR images using a 1,5-T MR device for all patients. Changes in the subchondral bone were classified according to MR signal features.
Results: Of these patients, 37 (54.4 %) were male and 31 (45.6 %) were female. The mean age was 32.3±7.8 years, ranging from 16 to 60 years. Mean disease dura­tion was 12.4±8.6 years (2-24 years). While MR imag­ing findings were normal in 52 (76,5%) patients, signal changes consisted with sacroiliitis were observed in 16 (23.5%) patients. One or more MR lesion consisted with sacroiliitis were observed in a total of 22 sacroiliac joint of 16 patients. The signal abnormalities detected by MR imaging were as follows, Type-1 changes in 6 (27.3%) joints, Type-2 changes in 8 (36.4%) joints, Type-3 chang­es in 10 (45.5%) joints, erosions in 9 (40.9%) joints, nar­rowing the joints space in 6 (27.3%) joints and ankylosis in 5 (22.7%) joints.
Conclusion: Sacroiliitis in psoriatic patients is an impor­tant clinical problem. MR imaging is a useful diagnostic modality in the diagnosis of psoriatic sacroiliitis which can demonstrate detailed anatomy of the sacroiliac joint and the changes of sacroiliitis without radiation exposure.

Keywords

Psoriasis, sacroiliitis, magnetic resonance imaging

Citation

İnci MF, İnci R. Magnetic resonance imaging findings of sacroiliitis in patients with psoriasis. J Clin Exp Invest. 2013;4(2):199-203. https://doi.org/10.5799/ahinjs.01.2013.02.0265