Sacroiliitis | Lecture Note - Edubirdie

University:
The University Of Western Ontario
Course:
Biology 2290F | Scientific Method in Biology
Academic year:

2022
Views:

133

Pages:

3
Author:

Kyuwon J.

Sacroiliitis ○ Inflammation of the sacroiliac (SI) joints ○ Centeral axial spondyloarthirtis ■ Diagnosis could be both unilateral and bilateral ○ Early detection will change the management of this disease ■ Early biologic therapy Causes ○ Inflammatory ■ Ankylosing spondylitis ■ Axial spondyloarthritis ● Most common ● Non-infectious ■ Psoriatic arthritis (axial form ), IBD-associated arthritis ■ Reactive arthritis ○ Infectious ■ Septic scroiliiitis ● Bacterial ○ Staphyloccus aureus ○ Gram-negative bacilli ○ TB/mycobacterial ○ Mechanicla/degeneratives ■ osteo arthritis in SI joint ● Due to heavy loads,pregnancy ○ Traumatics ■ Direct injury ■ Pelvic fractures ■ Postpartum strains ○ Metabolics ■ Hyperparathyroidms ■ Tumors ● Mimicary is rare but still could have possibility Clinical features ○ Buttock pains ■ Unilateral ■ Radiates to posterior thigh + groin ○ Pain worsen if patient tends to have longer standing time ■ Stair climbing …etc ○ Posivit provocative tests ■ FABER ■ Gaenslen’s ■ Sacral compreesisons ○ Association with systemic features ■ Morning stiffness ■ Improvements upon exercise ■ Peripheral arthritis ■ Enthesitis ■ Uveitis Suspection and initial workup ○ Young adults that currently have inflammatory back and buttock pain ⇒ must suspect for inflammatory sacroiliitis ■ This could come with or without morning stiffness ○ Local severe pain ■ Fevers, high CRP/ESR ⇒ must suspect for septic SI joints ○ ESR,CRP,CBC blood culture if febrile ■ HLA-B27 ⇒ clinical suspicion on SpA ○ Could be detected using MRI (a source of early detection ■ Marrow edema⇒ when X-ray normal but use when it is still suspicious (everyhing else checks out)

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