CAPÍTULO 9: Utilidad de la radiología y la tomografía en pacientes con espondiloartritis axial

  • Carolina A. Isnardi Unidad de Investigación de la Sociedad Argentina de Reumatología (UNISAR), Ciudad Autónoma de Buenos Aires, Argentina
Palabras clave: espondiloartritis axial, radiología, tomografía

Resumen

La neoformación ósea es una característica distintiva de las espondiloartritis (EspA). La misma se ha relacionado con una respuesta exagerada del tejido al estrés mecánico y la inflamación en las zonas de inserción de tendones y ligamentos (entesis), en contexto de un exceso respuesta de reparación. Particularmente en el esqueleto axial, las manifestaciones inflamatorias como la sacroilitis, la espondilitis, la espondilodiscitis y las espondiloartritis conducen a la formación de hueso nuevo a lo largo de los espacios intervertebrales (sindesmofitos) y en las articulaciones sacroilíacas (SI), resultando en anquilosis de la columna vertebral. En este contexto, la detección de estas lesiones inflamatorias y estructurales se ha utilizado para diagnosticar y clasificar a estos pacientes, así como también para establecer su pronóstico y la respuesta a los tratamientos instaurados. Con este fin, la radiografía convencional, la resonancia magnética, la ultrasonografía y la tomografía computarizada de baja dosis representan herramientas de gran utilidad para el estudio de pacientes con espondiloartritis axial (EspAax).

Biografía del autor/a

Carolina A. Isnardi, Unidad de Investigación de la Sociedad Argentina de Reumatología (UNISAR), Ciudad Autónoma de Buenos Aires, Argentina
Sección Reumatología, Instituto de Rehabilitación Psicofísica (IREP), Reumatología, Centro Traumatológico Bariloche

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Publicado
2024-07-01
Cómo citar
1.
Isnardi CA. CAPÍTULO 9: Utilidad de la radiología y la tomografía en pacientes con espondiloartritis axial. Rev. Argent. Reumatol. [Internet]. 1 de julio de 2024 [citado 11 de octubre de 2024];35(Sup1):76 -88. Disponible en: https://ojs.reumatologia.org.ar/index.php/revistaSAR/article/view/834