İbrahim ÖZTOPRAK, Emrullah HAYTA, Resul ÖZELÇİ, Ece KAPTANOĞLU, Hasan ELDEN, Özlem ŞAHİN

Determining the prevalence of sacroiliitis in Behçet’s disease by magnetic resonance imaging

Amaç. Bu çalışmanın amacı sakroiliitin erken tanısında duyarlı bir yöntem olan manyetik rezonans görüntüleme (MRG) kullanarak Behçet Hastalığı (BH)'nda sakroiliit sıklığını belirlemektir. Yöntem. Uluslararası Behçet Hastalığı Çalışma Grubu'nun sınıflama kriterlerini karşılayan 38 gönüllü hasta ve inflamatuar olmayan bel ağrısı şikayeti olan yaş ve cinsiyet eşlemesi yapılmış 35 gönüllü olgu kontrol grubu olarak çalışmaya alındı. Tüm katılımcıların sakroiliak MRG' leri yapıldı. Bulgular. BH' lerin sekizinde (21,1%), kontrol grubundaki olguların yedisinde (20%) sakroiliitis vardı. Gruplar arasında sakroiliit görülme sıklığı açısından istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Hastalık süresi on yıldan az olan BH' ler ile on yıl ve daha fazla olan BH' ler sakroiliit sıklığı açısından karşılaştırıldığında gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Sonuç. Bu çalışmanın bulgularına göre sakroiliit BH için karakteristik bir eklem tutulumu olarak görünmemektedir.

Behçet hastalığında manyetik rezonans görüntüleme ile sakroiliit sıklığının belirlenmesi

Aim. The aim of this study was to determine the frequency of sacroiliitis in patients with Behçet's disease (BD) by using the magnetic resonance imaging (MRI), a sensitive method for early diagnosis of sacroiliitis. Methods. Thirty-eight consecutive volunteered patients who met the classification criteria of the International Study Group for Behçet's Disease and 35 consecutive volunteered age and sex matched subjects with noninflammatory low back pain were enrolled in the study. Sacroiliac MRIs of all subjects were taken. Results. There was sacroiliitis in eight (21.1%) of the patients with BD and in seven (20%) of the subjects in the control group. There was no statistically significant difference between the two groups by means of sacroiliitis prevalence (p>0.05). The patients with disease duration of ten years or longer were compared with patients with disease duration of less than ten years regarding sacroiliitis prevalence. There was no significant difference between the groups (p>0.05). Conclusion. According to the results of the present study, sacroiliitis does not seem to be a characteristic finding for joint involvement in BD.

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