CAPÍTULO 13: Rol de la ultrasonografía para el estudio de las espondiloartritis 2: articulaciones sacroilíacas

Santiago Ruta; Javier Eduardo Rosa

Santiago Ruta Hospital Italiano de La Plata, La Plata, Provincia de Buenos Aires, Argentina
Javier Eduardo Rosa Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina

Palabras clave: espondiloartritis axial, articulaciones sacroilíacas

Resumen

Las espondiloartritis (EspA) representan un conjunto de patologías que comparten ciertas características clínicas y genéticas, cuyo prototipo de enfermedad es la espondilitis anquilosante (EA). Las articulaciones sacroilíacas (SI) presentan características únicas desde un punto de vista anatómico y funcional, que dificulta frecuentemente la evaluación del compromiso inflamatorio (sacroilitis) mediante el examen clínico y los cambios radiográficos suelen ser tardíos, llevando a retrasos en el diagnóstico. Las radiografías convencionales de las articulaciones SI tradicionalmente se han usado para el diagnóstico, clasificación y monitoreo de las EspA axiales, siendo la sacroilitis el componente central de los criterios diagnósticos para EA. Las radiografías de las articulaciones SI no sirven para el diagnóstico temprano, y debido a la alta variabilidad intra e interobservador, pueden provocar resultados falsos positivos y negativos.

Biografía del autor/a

Santiago Ruta, Hospital Italiano de La Plata, La Plata, Provincia de Buenos Aires, Argentina

Hospital Italiano de La Plata

Javier Eduardo Rosa, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina

Hospital Italiano de Buenos Aires

Citas

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