Protocolo diagnóstico de la sacroilitis y la discitis
- Blanco Cáceres, B.A. 1
- Pijoan Moratalla, C. 1
- Valero Expósito, M. 1
- Medina Quiñones, C. 1
- Guillén Astete, C. 1
- 1 Servicio de Reumatología, Hospital Universitario Ramón y Cajal, Madrid, España
ISSN: 0304-5412
Year of publication: 2021
Series: 13
Issue: 29
Pages: 1662-1666
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
Sacroiliitis is a typical spondyloarthritis condition. It presents as alternating gluteal pain or low back pain of inflammatory rhythm. In diagnosing it, it is important to differentiate it from other causes such as infectious or degenerative origins, among others. For the diagnosis, laboratory and imaging tests are used. Such imaging tests include sacroiliac joint x-rays and magnetic resonance imaging, with the latter being especially useful in differential diagnosis. Discitis generally has an infectious origin, but it can also be caused by mechanical and inflammatory problems. Likewise, imaging and laboratory techniques are useful, along with cultures when there is suspicious of an infectious cause.
Bibliographic References
- Antonelli MJ, Magrey M. Sacroiliitis mimics: a case report and review of the literature. BMC Musculoskelet Disord. 2017;18(1):170.
- Lambert RGW, Bakker PAC, Heijde D van der, Weber U, Rudwaleit M, Hermann KGA, Defining active sacroiliitis on MRI for classification of axial spondyloarthritis: update by the ASAS MRI working group. Ann Rheum Dis. 2016;75(11):1958-63.
- Maksymowych WP, Lambert RG, Østergaard M, Pedersen SJ, Machado PM, Weber U, MRI lesions in the sacroiliac joints of patients with spondyloarthritis: an update of definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2019;78(11):1550-8.
- Sieper J, Heijde D van der, Landewé R, Brandt J, Burgos Vagas R, Collantes Estevez E, New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009;68(6):784-8.
- Mandl P, Navarro Compán V, Terslev L, Aegerter P, Heijde D van der, D’Agostino MA,EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis. 2015;74(7):1327-39.
- Heijde D van der, Ramiro S, Landewé R, Baraliakos X, Bosch FV den, Sepriano A, 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis. Ann Rheum Dis. 2017;76(6): 978-91.