Sacroiliac joint involvement in systemic sclerosis

Aim One of the major problems for systemic sclerosis (SSc) patients is suggested to be articular involvement. Mostly involved joints in SSc were reported as wrist, carpometacarpal‐interphalangeal, foot, knee, hip and shoulder; however, there has been little knowledge on the sacroiliac joint. Our aim...

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Bibliographic Details
Published in:International journal of rheumatic diseases 2015-01, Vol.18 (1), p.84-90
Main Authors: Arslan Tas, Didem, Yıldız, Fatih, Sakallı, Hakan, Kelle, Bayram, Ballı, Tuğsan, Erken, Eren
Format: Article
Language:English
Subjects:
Adult
Aged
Back Pain - diagnosis
Back Pain - etiology
Biomarkers - blood
C-Reactive Protein - analysis
Case-Control Studies
Chi-Square Distribution
Female
Humans
Inflammation Mediators - blood
Logistic Models
Magnetic Resonance Imaging
Male
Middle Aged
Odds Ratio
Pain Measurement
Predictive Value of Tests
Radiography
Risk Factors
Sacroiliac Joint - diagnostic imaging
Sacroiliac Joint - pathology
Sacroiliac Joint - physiopathology
sacroiliitis
Sacroiliitis - blood
Sacroiliitis - diagnosis
Sacroiliitis - etiology
Sacroiliitis - physiopathology
Scleroderma, Systemic - blood
Scleroderma, Systemic - complications
Scleroderma, Systemic - diagnosis
Scleroderma, Systemic - physiopathology
Severity of Illness Index
Sex Factors
spondyloarthropathy
systemic sclerosis
Up-Regulation
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Summary:Aim One of the major problems for systemic sclerosis (SSc) patients is suggested to be articular involvement. Mostly involved joints in SSc were reported as wrist, carpometacarpal‐interphalangeal, foot, knee, hip and shoulder; however, there has been little knowledge on the sacroiliac joint. Our aim was to evaluate sacroiliac joint involvement in SSc. Methods Fifty‐seven SSc patients, 54 rheumatoid arthritis patients and 64 healthy subjects were included. Anteroposterior pelvic radiographs were obtained and graded twice by three blinded rheumatologists. One competent radiologist has re‐evaluated the X‐ray results. The ASAS (Assessment of Spondylo Arthritis International Society) scoring method was applied for grading sacroiliac involvement. Inflammatory back pain was also evaluated. Other clinical and laboratory data were collected as proposed by the European Study Group. Results In the SSc group sacroiliitis was found in 13 patients (23%) and was significantly different from RA patients (two patients, 4%), P = 0.003; and the healthy control group (one participant, 2%), P 
ISSN:1756-1841
1756-185X
DOI:10.1111/1756-185X.12379