RT Journal Article
SR Electronic
T1 Tendinous and Ligamentous Derangements in Systemic Lupus Erythematosus
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 2187
OP 2191
DO 10.3899/jrheum.080255
VO 35
IS 11
A1 SIERRA-JIMENEZ, GABRIELA
A1 SANCHEZ-ORTIZ, ADRIANA
A1 ACEVES-AVILA, FRANCISCO JAVIER
A1 HERNANDEZ-RIOS, GUILLERMO
A1 DURÁN-BARRAGÁN, SERGIO
A1 RAMOS-REMUS, CESAR
YR 2008
UL http://www.jrheum.org/content/35/11/2187.abstract
AB Objective We assessed the prevalence of selected clinical and radiological features of tendinous and ligamentous derangements in a consecutive sample of patients with systemic lupus erythematosus (SLE). Methods Consecutive patients with SLE with no comorbidities attending a tertiary care center were prospectively assessed and underwent plain radiographic evaluation of the pelvis. Radiographs were analyzed by 2 blinded observers; radiographic sacroiliitis was graded 0 to IV. To better assess sacroiliac (SI) involvement, a computed tomography (CT) scan of the SI joints was performed in patients with grade III sacroiliitis. Hip joints and pubis were also assessed as described. Results Of the 192 included patients, 89% were female, mean age was 36 years, and mean disease duration was 10 years. Inflammatory low back pain was reported by 10% of patients. Sacroiliitis of any grade was observed in 31 patients (16%), and grade III (confirmed on CT scan) sacroiliitis was observed in 6% (95% CI 3% to 9%). Osteitis pubis was diagnosed in 6% (95% CI 3% to 10%) and coxofemoral migration in 8% (95% CI 2% to 9%). Jaccoud’s arthropathy was found in 23%. Demographic and clinical variables were not statistically associated with radiographic sacroiliitis. Conclusion Sacroiliitis and other tendinous and ligamentous derangements are not uncommon in patients with SLE. Based on these features and on previous reports, the term “SLE-related tendinous and ligamentous derangements” may be used to establish a common framework for further research and reporting.