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© 1990 British Society for Rheumatology

other

COMPUTED TOMOGRAPHY OF THE SACROILIAC JOINTS IN FOUR PATIENTS WITH BEHCÇET'S SYNDROME-CONFIRMATION OF SACROILIITIS

I. OLIVIERI0,1, G. GEMIGNANI0, E. CAMERINI*, R. SEMERIA0 and G. PASERO0

0Rheumatic Disease Unit of the Institute of Medical Pathology I
*Institute of Radiology, University of Pisa Pisa, Italy

Correspondence to: 1Correspondence to Dr I. Olivieri, 1, Servizio di Reumatologia, via Roma 2, 56100 Pisa

In order to reduce the subjective factor in evaluating sacroiliac joint radiographs we further evaluated changes seen on standard plain films of patients suffering from Behcçet's syndrome (BS) by using computed tomography (CT). Sacroiliac joint films of 20 consecutive patients with BS were mixed with those of 20 consecutive control patients and read blindly and independently by two observers. Six patients with BS met the New York criteria for sacroiliitis. Of the control patients, one had monolateral grade 1 sacroiliitis and two revealed findings consistent with osteitis condensans ilii. CT confirmed the diagnosis of sacroiliitis in patients with BS showing a high degree in at least one joint. The results of the present study suggest that the use of CT for BS patients showing sacroiliac joint changes on pelvic plain films may limit the confusion which exists about this finding in BS.

KEY WORDS: Sacroiliitis, Ankylosing spondylitis, Seronegative spondyloarthropathy


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