Sacroiliac joint in sarcoidosis on computed tomography: a monocentric retrospective study (SISTER).
Computed tomography
Osteoarthritis
Sacroiliac joint
Sacroiliitis
Sarcoidosis
Spondyloarthritis
Journal
Rheumatology international
ISSN: 1437-160X
Titre abrégé: Rheumatol Int
Pays: Germany
ID NLM: 8206885
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
received:
21
06
2021
accepted:
01
10
2021
pubmed:
13
10
2021
medline:
8
3
2022
entrez:
12
10
2021
Statut:
ppublish
Résumé
Sacroiliitis and spondyloarthritis (SpA) have been associated to sarcoidosis. Sarcoidosis bone involvement of the sacral or iliac bones has been reported to mimic SpA. We aimed to evaluate the prevalence of structural sacroiliitis and structural changes of the sacroiliac joints (SIJ) in patients with sarcoidosis by abdominal-pelvic computed tomography (AP-CT). In this monocentric retrospective study, three blinded readers evaluated AP-CT that had already been performed on patients with sarcoidosis and classified them as normal, degenerative, or inflammatory. A consensus was reached for the divergent cases. Erosion, ankylosis, and sclerosis, classically associated with sacroiliitis, were noted. SpA was defined according to the ASAS 2009 classification criteria. We identified 217 patients with proven sarcoidosis who underwent AP-CT. Only three patients had sacroiliitis by CT and four had SpA, representing 1.38% and 1.85% of the patients, respectively. Degenerative SIJs represented 28.1% of patients and were significantly associated with age, at least one pregnancy, rural lifestyle, ankylosis, diffuse idiopathic skeletal hyperostosis, sclerosis, and the presence of osteophytes. Four patients had axial bone sarcoidosis. Sacroiliitis, SpA, and degenerative changes of the SIJ have been highlighted by AP-CT in patients with sarcoidosis. Osteoarthritis of the SIJ in sarcoidosis was associated with age, pregnancy, and rural lifestyle. Further studies are needed to assess the link between SpA and sarcoidosis.
Identifiants
pubmed: 34636939
doi: 10.1007/s00296-021-05021-z
pii: 10.1007/s00296-021-05021-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
431-440Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Valeyre D, Prasse A, Nunes H et al (2014) Sarcoidosis. Lancet 383:1155–1167. https://doi.org/10.1016/S0140-6736(13)60680-7
doi: 10.1016/S0140-6736(13)60680-7
pubmed: 24090799
Goussault C, Albert J-D, Coiffier G et al (2018) Ultrasound characterization of ankle involvement in Löfgren syndrome. Jt Bone Spine 85:65–69. https://doi.org/10.1016/j.jbspin.2017.03.004
doi: 10.1016/j.jbspin.2017.03.004
Zhou Y, Lower EE, Li H et al (2017) Clinical characteristics of patients with bone sarcoidosis. Semin Arthritis Rheum 47:143–148. https://doi.org/10.1016/j.semarthrit.2017.02.004
doi: 10.1016/j.semarthrit.2017.02.004
pubmed: 28274482
Bechman K, Galloway J, Pouchot J (2019) Miscellaneous inflammatory arthritides: adult still’s disease, sarcoidosis, palindromic rheumatism, paraneoplastic arthritis, hypertrophic osteoarthropathy. In: EULAR on-line course on rheumatic diseases. p 36
Sondag M, Gete K, Verhoeven F et al (2019) Analysis of the early signs of septic sacroiliitis on computed tomography. Eur J Rheumatol 6:122–125. https://doi.org/10.5152/eurjrheum.2019.18209
doi: 10.5152/eurjrheum.2019.18209
pubmed: 31329539
pmcid: 6668636
Eshed I, Lidar M (2017) MRI findings of the sacroiliac joints in patients with low back pain: alternative diagnosis to inflammatory sacroiliitis. Isr Med Assoc J 19:666–669
pubmed: 29185277
Lukas C, Cyteval C, Dougados M, Weber U (2018) MRI for diagnosis of axial spondyloarthritis: major advance with critical limitations “not everything that glisters is gold (standard).” RMD Open 4:e000586. https://doi.org/10.1136/rmdopen-2017-000586
doi: 10.1136/rmdopen-2017-000586
pubmed: 29479474
pmcid: 5822619
Tsoi C, Griffith JF, Lee RKL et al (2019) Imaging of sacroiliitis: current status, limitations and pitfalls. Quant Imaging Med Surg 9:318–335. https://doi.org/10.21037/qims.2018.11.10
doi: 10.21037/qims.2018.11.10
pubmed: 30976556
pmcid: 6414763
Verstraeten JM, Bekaert J (1951) Association de spondylite ankylosante et de sarcoidose. Acta Tuberc Belg 42:149–151
pubmed: 14837802
Cadiou S, Robin F, Guillin R et al (2020) Spondyloarthritis and sarcoidosis: related or fake friends? A systematic literature review. Jt Bone Spine 87:579–587. https://doi.org/10.1016/j.jbspin.2020.06.011
doi: 10.1016/j.jbspin.2020.06.011
Uslu S (2020) Sacroiliitis in sarcoidosis mimicking ankylosing spondylitis. Rheumatology (Oxford). https://doi.org/10.1093/rheumatology/keaa445
doi: 10.1093/rheumatology/keaa445
Bouzillé G, Sylvestre E, Campillo-Gimenez B et al (2015) An integrated workflow for secondary use of patient data for clinical research. Stud Health Technol Inform 216:913
pubmed: 26262215
Costabel U, Hunninghake GW (1999) ATS/ERS/WASOG statement on sarcoidosis. Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders. Eur Respir J 14:735–737. https://doi.org/10.1034/j.1399-3003.1999.14d02.x
doi: 10.1034/j.1399-3003.1999.14d02.x
pubmed: 10573213
Melchior J, Azraq Y, Chary-Valckenaere I et al (2017) Radiography, abdominal CT and MRI compared with sacroiliac joint CT in diagnosis of structural sacroiliitis. Eur J Radiol 95:169–176. https://doi.org/10.1016/j.ejrad.2017.08.004
doi: 10.1016/j.ejrad.2017.08.004
pubmed: 28987663
Chan J, Sari I, Salonen D et al (2016) Development of a screening tool for the identification of sacroiliitis in computed tomography scans of the abdomen. J Rheumatol 43:1687–1694. https://doi.org/10.3899/jrheum.150939
doi: 10.3899/jrheum.150939
pubmed: 27422894
Melchior J, Azraq Y, Chary-Valckenaere I et al (2017) Radiography and abdominal CT compared with sacroiliac joint CT in the diagnosis of sacroiliitis. Acta Radiol 58:1252–1259. https://doi.org/10.1177/0284185116688377
doi: 10.1177/0284185116688377
pubmed: 28103710
Hart LG, Larson EH, Lishner DM (2005) Rural definitions for health policy and research. Am J Public Health 95:1149–1155. https://doi.org/10.2105/AJPH.2004.042432
doi: 10.2105/AJPH.2004.042432
pubmed: 15983270
pmcid: 1449333
Belhomme N, Jouneau S, Bouzillé G et al (2018) Role of serum immunoglobulins for predicting sarcoidosis outcome: a cohort study. PLoS ONE. https://doi.org/10.1371/journal.pone.0193122
doi: 10.1371/journal.pone.0193122
pubmed: 29641520
pmcid: 5894960
Erb N, Cushley MJ, Kassimos DG et al (2005) An assessment of back pain and the prevalence of sacroiliitis in sarcoidosis. Chest 127:192–196. https://doi.org/10.1378/chest.127.1.192
doi: 10.1378/chest.127.1.192
pubmed: 15653983
Kobak S, Sever F, Ince O, Orman M (2014) The prevalence of sacroiliitis and spondyloarthritis in patients with sarcoidosis. Int J Rheumatol 2014:289454. https://doi.org/10.1155/2014/289454
doi: 10.1155/2014/289454
pubmed: 24899899
pmcid: 4037117
Sigaux J, Semerano L, Nasrallah T et al (2019) High prevalence of spondyloarthritis in sarcoidosis patients with chronic back pain. Semin Arthritis Rheum 49:246–250. https://doi.org/10.1016/j.semarthrit.2019.03.006
doi: 10.1016/j.semarthrit.2019.03.006
pubmed: 31138443
Wu C-H, Chung P-I, Wu C-Y et al (2017) Comorbid autoimmune diseases in patients with sarcoidosis: a nationwide case-control study in Taiwan. J Dermatol 44:423–430. https://doi.org/10.1111/1346-8138.13654
doi: 10.1111/1346-8138.13654
pubmed: 27786368
Christiansen AA, Hendricks O, Kuettel D et al (2017) Limited reliability of radiographic assessment of sacroiliac joints in patients with suspected early spondyloarthritis. J Rheumatol 44:70–77. https://doi.org/10.3899/jrheum.160079
doi: 10.3899/jrheum.160079
pubmed: 27744397
van der Linden S, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 27:361–368
doi: 10.1002/art.1780270401
Rudwaleit M, van der Heijde D, Landewé R et al (2009) The development of assessment of spondylo arthritis international society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis 68:777–783. https://doi.org/10.1136/ard.2009.108233
doi: 10.1136/ard.2009.108233
pubmed: 19297344
Baraliakos X, Richter A, Feldmann D et al (2020) Frequency of MRI changes suggestive of axial spondyloarthritis in the axial skeleton in a large population-based cohort of individuals aged <45 years. Ann Rheum Dis 79:186–192. https://doi.org/10.1136/annrheumdis-2019-215553
doi: 10.1136/annrheumdis-2019-215553
pubmed: 31744822
Grunewald J, Eklund A (2009) Löfgren’s syndrome: human leukocyte antigen strongly influences the disease course. Am J Respir Crit Care Med 179:307–312. https://doi.org/10.1164/rccm.200807-1082OC
doi: 10.1164/rccm.200807-1082OC
pubmed: 18996998
Mau W, Zeidler H, Mau R et al (1988) Clinical features and prognosis of patients with possible ankylosing spondylitis. Results of a 10-year follow-up. J Rheumatol 15:1109–1114
pubmed: 3262757
Ungprasert P, Carmona EM, Utz JP et al (2016) Epidemiology of sarcoidosis 1946–2013: a population-based study. Mayo Clin Proc 91:183–188. https://doi.org/10.1016/j.mayocp.2015.10.024
doi: 10.1016/j.mayocp.2015.10.024
pubmed: 26727158
Slobodin G, Croitoru S, Starikov N et al (2012) Incidental computed tomography sacroiliitis: clinical significance and inappropriateness of the New York radiological grading criteria for the diagnosis. Clin Rheumatol 31:425–428. https://doi.org/10.1007/s10067-011-1871-6
doi: 10.1007/s10067-011-1871-6
pubmed: 21975576
Stolwijk C, van Onna M, Boonen A, van Tubergen A (2016) Global prevalence of spondyloarthritis: a systematic review and meta-regression analysis. Arthritis Care Res (Hoboken) 68:1320–1331. https://doi.org/10.1002/acr.22831
doi: 10.1002/acr.22831
Yazici H, Turunç M, Ozdoğan H et al (1987) Observer variation in grading sacroiliac radiographs might be a cause of “sacroiliitis” reported in certain disease states. Ann Rheum Dis 46:139–145
doi: 10.1136/ard.46.2.139
Mandl P, Navarro-Compán V, Terslev L et al (2015) EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis 74:1327–1339. https://doi.org/10.1136/annrheumdis-2014-206971
doi: 10.1136/annrheumdis-2014-206971
pubmed: 25837448
Kelly OB, Li N, Smith M et al (2018) The prevalence and clinical associations of subclinical sacroiliitis in inflammatory bowel disease. Inflamm Bowel Dis. https://doi.org/10.1093/ibd/izy339
doi: 10.1093/ibd/izy339
Geijer M, Sihlbom H, Göthlin JH, Nordborg E (1998) The role of CT in the diagnosis of sacro-iliitis. Acta Radiol 39:265–268
doi: 10.1080/02841859809172191
El Rafei M, Badr S, Lefebvre G et al (2018) Sacroiliac joints: anatomical variations on MR images. Eur Radiol 28:5328–5337. https://doi.org/10.1007/s00330-018-5540-x
doi: 10.1007/s00330-018-5540-x
pubmed: 29876707
Demir M, Mavi A, Gümüsburun E et al (2007) Anatomical variations with joint space measurements on CT. Kobe J Med Sci 53:209–217
pubmed: 18204297
Geijer M, Gadeholt Göthlin G, Göthlin JH (2013) Diagnosis and progression of sacroiliitis in repeated sacroiliac joint computed tomography. Arthritis 2013:659487. https://doi.org/10.1155/2013/659487
doi: 10.1155/2013/659487
pubmed: 24078875
pmcid: 3776366
Zhang P, Yu KH, Guo RM et al (2016) Comparing the diagnostic utility of sacroiliac spectral CT and MRI in axial spondyloarthritis. Br J Radiol 89:20150196. https://doi.org/10.1259/bjr.20150196
doi: 10.1259/bjr.20150196
pubmed: 26670154
pmcid: 4986474
Geijer M, Göthlin GG, Göthlin JH (2007) Observer variation in computed tomography of the sacroiliac joints: a retrospective analysis of 1383 cases. Acta Radiol 48:665–671. https://doi.org/10.1080/02841850701342146
doi: 10.1080/02841850701342146
pubmed: 17611876
Eno J-JT, Boone CR, Bellino MJ, Bishop JA (2015) The prevalence of sacroiliac joint degeneration in asymptomatic adults. J Bone Jt Surg Am 97:932–936. https://doi.org/10.2106/JBJS.N.01101
doi: 10.2106/JBJS.N.01101
Sparks JA, McSparron JI, Shah N et al (2014) Osseous sarcoidosis: clinical characteristics, treatment, and outcomes–experience from a large, academic hospital. Semin Arthritis Rheum 44:371–379. https://doi.org/10.1016/j.semarthrit.2014.07.003
doi: 10.1016/j.semarthrit.2014.07.003
pubmed: 25129260
Kollert F, Hadiprasetya ML, Probst C et al (2012) Clinical images: multilocular tenosynovitis as a manifestation of sarcoidosis. Arthritis Rheum 64:326. https://doi.org/10.1002/art.33387
doi: 10.1002/art.33387
pubmed: 21971997