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Spondyloarthritis

Spondyloarthritis. BS Mã Nguyễn Minh Tùng. Case : bn nữ 32 tuổi LS: đau lưng- hai gối 3 tháng, không giới hạn cúi cs cổ và cs thắt lưng, đau nhiều về đêm, hoạt động có giảm. T2FS FAT SAT. T2FS FAT SAT. BÀN LUẬN. Recommendation 1 : axial SpA

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Spondyloarthritis

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  1. Spondyloarthritis BS Mã Nguyễn Minh Tùng

  2. Case : bn nữ 32 tuổi LS: đau lưng- hai gối 3 tháng, không giới hạn cúi cs cổ và cs thắt lưng, đau nhiều về đêm, hoạt động có giảm

  3. T2FS FAT SAT

  4. T2FS FAT SAT

  5. BÀN LUẬN

  6. Recommendation 1: axial SpA • In general, conventional radiography of the SI joints is recommended as the first imaging method to diagnose sacroiliitis as part of axial SpA. • In certain cases, such as young patients and those with short symptom duration, MRI of the SI joints is an alternative first imaging method.

  7. Hyperintense signal intensity on STIR image in the left sacroiliac joint (arrow) reflect active inflammation

  8. Axial STIR and (B) fat-suppressed Gd-enhanced T1-weighted MR images of sacroiliac joints show enthesitis in the left posterosuperior sacroiliac joint (arrows).

  9. Sagittal fat-suppressed T2-weighted and MR images of lumbar- cervical spine show active inflammation in the corners vertebral bodies (arrows) in spondyloarthritis

  10. Sagittal fat-suppressed T2-weighted and (B) fat-suppressed Gd-enhanced T1-weighted MR images of thoracic spine show end-plate erosion with subchondral marrow edema and inflammation characterizing spondylodiskitis

  11. Recommendation 2 • Peripheral SpA: diagnosis • When peripheral SpA is suspected, US or MRI may be used to detect peripheral enthesitis, which may support the diagnosis of SpA. • Furthermore, US or MRI might be used to detect peripheral arthritis, tenosynovitis and bursitis.

  12. Tóm lại: Ngày nay xu hướng chung của thế giới trong thực hành lâm sàng về nội khớp, đòi hỏi các bác sỹ lâm sàng phải trao dồi kỹ năng về chẩn đoán hình ảnh, giúp ích nhiều cho chẩn đoán sớm và đánh giá đáp ứng điều trị

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