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Utility of magnetic resonance imaging in Crohn associated sacroiliitis: A cross‐sectional study

International Journal of Rheumatic Diseases Feb 05, 2021

Malik F, Scherl E, Weber U, et al. - Using standardized sacroiliac joint (SIJ) magnetic resonance imaging (MRI), researchers conducted this cross‐sectional study to identify sacroiliitis in Crohn disease (CD) patients and its correlation with clinical and serological markers. Consecutive adult patients with CD prospectively recruited from an inflammatory bowel disease clinic underwent SIJ MRI. CD duration, joint/back pain history, human leukocyte antigen‐B27 status, Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Disease Activity Index, Harvey Bradshaw Index (HBI) for CD activity, Ankylosing Spondylitis Disease Activity Score, and various serologic inflammation markers were included in the collected data. Thirty‐three patients with CD were registered, 76% of whom were female, 80% of whom were White, and with a median age of 36.4 years. Among these participants with CD, 12%-18% had MRI evidence of sacroiliitis, which was not related to back pain, CD activity or serologic measures. This data indicates that MRI is a valuable tool in CD patients for the identification of subclinical sacroiliitis.

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