Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2019.14802 |
Resumo: | Introduction: The axial articular involvement in pediatric inflammatory bowel disease is frequent and often asymptomatic. There are no studies evaluating the sacroiliac joints assessed by magnetic resonance colonography or enterography performed in this population. Methods: A cross-sectional study, including pediatric patients diagnosed with inflammatory bowel disease, previously submitted to magnetic resonance colonography or enterography, was performed. Two independent radiologists proceeded, independently and blindly, to magnetic resonance imaging analysis and identification of lesions suggestive of sacroiliitis. Parametric and non-parametric tests were used in statistical analysis to compare clinical and demographical variables in patients with or without sacroiliitis in magnetic resonance imaging. Results: The study included 64 patients, 24 (37.5%) females, 54 (84.4%) with Crohn disease, 10 (15.6%) with ulcerative colitis, and an average age of 15.1 ± 2.8 years. The prevalence of abnormalities suggestive of sacroiliitis in magnetic resonance was 31.2% (n = 20). Females had a significantly higher prevalence of sacroiliitis (45.8% vs. 22.5% of positive magnetic resonance imaging in females and males, respectively, p = 0.048) and those with positive magnetic resonance imaging had a shorter disease duration: 1.7 (0-10.5) vs. 3.2 (1-9.7) years, p = 0.001. Other factors, such as the type of inflammatory bowel disease, surgical history, current age, and age at diagnosis, were not associated with the presence of sacroiliitis. Discussion: Our study showed that there is a high prevalence of asymptomatic sacroiliitis in children with inflammatory bowel disease (31.2%). Magnetic resonance colonography or enterography used to monitor the underlying disease, may contribute to the early identification of these patients. |
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Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel DiseasePrevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel DiseaseOriginal articlesIntroduction: The axial articular involvement in pediatric inflammatory bowel disease is frequent and often asymptomatic. There are no studies evaluating the sacroiliac joints assessed by magnetic resonance colonography or enterography performed in this population. Methods: A cross-sectional study, including pediatric patients diagnosed with inflammatory bowel disease, previously submitted to magnetic resonance colonography or enterography, was performed. Two independent radiologists proceeded, independently and blindly, to magnetic resonance imaging analysis and identification of lesions suggestive of sacroiliitis. Parametric and non-parametric tests were used in statistical analysis to compare clinical and demographical variables in patients with or without sacroiliitis in magnetic resonance imaging. Results: The study included 64 patients, 24 (37.5%) females, 54 (84.4%) with Crohn disease, 10 (15.6%) with ulcerative colitis, and an average age of 15.1 ± 2.8 years. The prevalence of abnormalities suggestive of sacroiliitis in magnetic resonance was 31.2% (n = 20). Females had a significantly higher prevalence of sacroiliitis (45.8% vs. 22.5% of positive magnetic resonance imaging in females and males, respectively, p = 0.048) and those with positive magnetic resonance imaging had a shorter disease duration: 1.7 (0-10.5) vs. 3.2 (1-9.7) years, p = 0.001. Other factors, such as the type of inflammatory bowel disease, surgical history, current age, and age at diagnosis, were not associated with the presence of sacroiliitis. Discussion: Our study showed that there is a high prevalence of asymptomatic sacroiliitis in children with inflammatory bowel disease (31.2%). Magnetic resonance colonography or enterography used to monitor the underlying disease, may contribute to the early identification of these patients.Introduction: The axial articular involvement in pediatric inflammatory bowel disease is frequent and often asymptomatic. There are no studies evaluating the sacroiliac joints assessed by magnetic resonance colonography or enterography performed in this population. Methods: A cross-sectional study, including pediatric patients diagnosed with inflammatory bowel disease, previously submitted to magnetic resonance colonography or enterography, was performed. Two independent radiologists proceeded, independently and blindly, to magnetic resonance imaging analysis and identification of lesions suggestive of sacroiliitis. Parametric and non-parametric tests were used in statistical analysis to compare clinical and demographical variables in patients with or without sacroiliitis in magnetic resonance imaging. Results: The study included 64 patients, 24 (37.5%) females, 54 (84.4%) with Crohn disease, 10 (15.6%) with ulcerative colitis, and an average age of 15.1 ± 2.8 years. The prevalence of abnormalities suggestive of sacroiliitis in magnetic resonance was 31.2% (n = 20). Females had a significantly higher prevalence of sacroiliitis (45.8% vs. 22.5% of positive magnetic resonance imaging in females and males, respectively, p = 0.048) and those with positive magnetic resonance imaging had a shorter disease duration: 1.7 (0-10.5) vs. 3.2 (1-9.7) years, p = 0.001. Other factors, such as the type of inflammatory bowel disease, surgical history, current age, and age at diagnosis, were not associated with the presence of sacroiliitis. Discussion: Our study showed that there is a high prevalence of asymptomatic sacroiliitis in children with inflammatory bowel disease (31.2%). Magnetic resonance colonography or enterography used to monitor the underlying disease, may contribute to the early identification of these patients.Sociedade Portuguesa de Pediatria2019-04-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2019.14802eng2184-44532184-3333Alves, DuarteAguiar, FranciscaVieira, Ana CatarinaFonseca, RitaDias, Jorge AmilVieira, AlbertoBrito, Ivainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:57:54Zoai:ojs.revistas.rcaap.pt:article/14802Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:29.571601Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
title |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
spellingShingle |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease Alves, Duarte Original articles |
title_short |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
title_full |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
title_fullStr |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
title_full_unstemmed |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
title_sort |
Prevalence of Sacroiliitis Assessed by Magnetic Resonance Imaging in a Pediatric Population with Inflammatory Bowel Disease |
author |
Alves, Duarte |
author_facet |
Alves, Duarte Aguiar, Francisca Vieira, Ana Catarina Fonseca, Rita Dias, Jorge Amil Vieira, Alberto Brito, Iva |
author_role |
author |
author2 |
Aguiar, Francisca Vieira, Ana Catarina Fonseca, Rita Dias, Jorge Amil Vieira, Alberto Brito, Iva |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Alves, Duarte Aguiar, Francisca Vieira, Ana Catarina Fonseca, Rita Dias, Jorge Amil Vieira, Alberto Brito, Iva |
dc.subject.por.fl_str_mv |
Original articles |
topic |
Original articles |
description |
Introduction: The axial articular involvement in pediatric inflammatory bowel disease is frequent and often asymptomatic. There are no studies evaluating the sacroiliac joints assessed by magnetic resonance colonography or enterography performed in this population. Methods: A cross-sectional study, including pediatric patients diagnosed with inflammatory bowel disease, previously submitted to magnetic resonance colonography or enterography, was performed. Two independent radiologists proceeded, independently and blindly, to magnetic resonance imaging analysis and identification of lesions suggestive of sacroiliitis. Parametric and non-parametric tests were used in statistical analysis to compare clinical and demographical variables in patients with or without sacroiliitis in magnetic resonance imaging. Results: The study included 64 patients, 24 (37.5%) females, 54 (84.4%) with Crohn disease, 10 (15.6%) with ulcerative colitis, and an average age of 15.1 ± 2.8 years. The prevalence of abnormalities suggestive of sacroiliitis in magnetic resonance was 31.2% (n = 20). Females had a significantly higher prevalence of sacroiliitis (45.8% vs. 22.5% of positive magnetic resonance imaging in females and males, respectively, p = 0.048) and those with positive magnetic resonance imaging had a shorter disease duration: 1.7 (0-10.5) vs. 3.2 (1-9.7) years, p = 0.001. Other factors, such as the type of inflammatory bowel disease, surgical history, current age, and age at diagnosis, were not associated with the presence of sacroiliitis. Discussion: Our study showed that there is a high prevalence of asymptomatic sacroiliitis in children with inflammatory bowel disease (31.2%). Magnetic resonance colonography or enterography used to monitor the underlying disease, may contribute to the early identification of these patients. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2019.14802 |
url |
https://doi.org/10.25754/pjp.2019.14802 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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