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Araştırma Makalesi
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Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis

Yıl 2023, Cilt: 8 Sayı: 3, 53 - 57, 29.05.2023

Arif Bilen , Mustafa Reşorlu , Hatice Resorlu

https://doi.org/10.22391/fppc.1038830

Öz

Introduction: To determine the prevalence of involvement of symphysis pubis among male patients with ankylosing spondylitis (AS) and to analyze the relationship among this involvement, demographic data, clinical activity of the disease and radiological findings.
Methods: Overall, 73 male patients diagnosed with AS who visited our clinic for follow-up were included in the study. In this retrospective study, clinical and radiological parameters were collected. In clinical evaluation, vertebral Visual Analog Scale (VAS) score, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI) and Bath Ankylosing Spondylitis Functional Index (BASFI) were used. In AP pelvis radiography, symphysis pubis changes were rated as 0–4. Modified Stoke Ankylosing Spondylitis Spinal Score (M-SASSS) was calculated from the cervical and lumbar lateral radiography images.
Results: Symphysis pubis involvement was radiologically observed in 45 patients (61.7%). The mean age (43.9 ± 12.6) of patients with symphysis pubis involvement was higher than the average (36.9 ± 9.0) of patients without involvement (p = 0.026). Average M-SASSS of patients with symphysis pubis involvement (15.9 ± 11.9) was higher than the average of patients without involvement (8.4 ± 7.4), and there was a significant positive correlation between symphysis pubis involvement and M-SASSS (p=0.002). BASDAI and BASMI averages of patients were not significant (p = 0.973 and p = 0.105, respectively).
Conclusion: Symphysis pubis involvement is a common manifestation of AS and can be used to predict vertebral radiological involvement.
Keywords: Ankylosing Spondylitis, Symphysis Pubis, Modified Stoke Ankylosing Spondylitis Spinal Score

Anahtar Kelimeler

Ankylosing Spondylitis Symphysis Pubis Modified Stoke Ankylosing Spondylitis Score

Kaynakça

  • 1. Sieper J, Rudwaleit M, Khan MA, Braun J. Concepts and epidemiology of spondylarthritis. Best Pract Res Clin Rheumatol. 2006;20(3):401-17. https://doi.org/10.1016/j.berh.2006.02.001
  • 2. Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007;369(9570):1379-90. https://doi.org/10.1016/S0140-6736(07)60635-7
  • 3. Maksymowych WP. Spondyloarthropathies: Etiology and pathogenesis of ankylosing spondylitis. In: Hochberg M, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, editors. Rheumatology. 3rd ed. Elsevier Limited, Philadelphia, 2003: 1183-92.
  • 4. Van der linden S, Van der Heijde D, Juergen B. Ankylosing Spondylitis. In: Ruddy S, Harris E, Sledge C, Budd R, Firestein G, Genovese M (Eds.). Kelly’s textbook of Rheumatology. 7th Edi. Vol 2. Philadelphia: Elsevier Saunders; 2005, p.1125-41.
  • 5. Khorashadi L, Petscavage JM, Richardson ML. Postpartum pubic symphysis diastasis. Radiol Case Rep. 2015;6(3):542. https://doi.org/10.2484/rcr.v6i3.542
  • 6. Sequeira W. Diseases of the pubic symphysis. Semin Arthritis Rheum. 1986;16(1):11-21. https://doi.org/10.1016/0049-0172(86)90039-9
  • 7. Scott DL, Eastmond CJ, Wright V. A comparative radiological study of the pubic symphysis in rheumatic disorders. Ann Rheum Dis. 1979;38(6):529-34. https://doi.org/10.1136/ard.38.6.529
  • 8. .Jajić Z, Jajić I, Grazio S. Radiological changes of the symphysis in ankylosing spondylitis. Acta Radiol. 2000;41(4):307-9. https://doi.org/10.1080/028418500127345433
  • 9. Koo BS, Song Y, Joo KB, Lee S, Kim TH. Radiologic changes in the symphysis pubis of male patients with ankylosing spondylitis. J Rheumatol. 2016;43(2):330-4. https://doi.org/10.3899/jrheum.150711
  • 10. Linden SVD, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. Arthritis & Rheumatism 27(4);361-8. https://doi.org/10.1002/art.1780270401
  • 11. Van Der Heijde D, Bellamy N, Calin A, Dougados M, Khan MA, van der Linden S. Preliminary core sets for endpoints in ankylosing spondylitis. Assessments in Ankylosing Spondylitis Working Group. J Rheumatol. 1997;24(11):2225-
  • 12. Calin A, Garrett S, Whitelock H, Kennedy LG, O'Hea J, Mallorie P, et al. A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol. 1994;21(12):2281-5.
  • 13. Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol. 1994;21(12):2286-91.
  • 14. Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol. 1994 Sep; 21(9):1694-8.
  • 15. Creemers MCW, Franssen MJAM, van ’t Hof MA, et al. Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Annals Rheumatic Dis 2005;64:127-9. http://dx.doi.org/10.1136/ard.2004.020503
  • 16. Wanders AJ, Landewe RB, Spoorenberg A, Dougados M, van der Linden S, Mielants H, et al. What is the most appropriate radiologic scoring method for ankylosing spondylitis? A comparison of the available methods based on the Outcome Measures in Rheumatology Clinical Trials filter. Arthritis Rheum 2004;50(8):2622-32. https://doi.org/10.1002/art.20446
  • 17. Kormano M. Radiographic appearance of the public symphysis in old age and in rheumatoid arthritis. Acta Rheumatol Scand. 1971;17(4):286-94. https://doi.org/10.3109/rhe1.1971.17.issue-1-4.39

Ankilozan spondilitli erkek hastaların simfizis pubisindeki radyolojik değişikliklerle hastalık aktivite parametrelerinin karşılaştırılması

Yıl 2023, Cilt: 8 Sayı: 3, 53 - 57, 29.05.2023

Arif Bilen , Mustafa Reşorlu , Hatice Resorlu

https://doi.org/10.22391/fppc.1038830

Öz

Giriş: Ankilozan spondilitli (AS) erkek hastalarda simfizis pubis tutulum prevalansını belirlemek ve bu tutulum ile demografik veriler, hastalığın klinik aktivitesi ve radyolojik bulgular arasındaki ilişkiyi incelemektir.
Yöntem: Genel olarak kliniğimize takip için başvuran AS tanılı 73 erkek hasta çalışmaya dahil edildi. Bu retrospektif çalışmada; klinik ve radyolojik parametreler toplandı. Klinik değerlendirmede vertebral Vizüel Analog Skala (VAS) skoru, Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAI), Bath Ankilozan Spondilit Metroloji İndeksi (BASMİ) ve Bath Ankilozan Spondilit Fonksiyonel İndeksi (BASFI) kullanıldı. AP pelvis radyografisinde simfizis pubis değişiklikleri 0-4 olarak derecelendirildi. Servikal ve lomber lateral grafi görüntülerinden Modifiye Stoke Ankilozan Spondilit Spinal Skoru (M-SASSS) hesaplandı.
Bulgular: Simfizis pubis tutulumu radyolojik olarak 45 hastada (%61,7) görüldü. Simfizis pubis tutulumu olan hastaların ortalama yaşı (43,9 ± 12,6), tutulumu olmayan hastaların ortalamasından (36,9 ± 9,0) daha yüksekti (p = 0,026). Simfizis pubis tutulumu olan hastaların M-SASSS ortalaması (15,9 ± 11,9), tutulumu olmayan hastaların ortalamasından (8,4 ± 7,4) daha yüksekti ve simfizis pubis tutulumu ile M-SASSS arasında anlamlı pozitif korelasyon vardı (p=0,002). Hastaların BASDAI ve BASMI ortalamaları anlamlı değildi (sırasıyla p=0,973 ve p=0,105).
Sonuç: Simfizis pubis tutulumu AS'nin sık görülen bir bulgusudur ve vertebra radyolojik tutulumunu öngörmede kullanılabilir.
Anahtar Kelimeler: Ankilozan Spondilit, Simfizis Pubis, Modifiye Stoke Ankilozan Spondilit Spinal Skoru

Anahtar Kelimeler

Modifiye Stoke Ankilozan Spondilit Skoru Ankilozan Spondilit Simfizis Pubis

Kaynakça

  • 1. Sieper J, Rudwaleit M, Khan MA, Braun J. Concepts and epidemiology of spondylarthritis. Best Pract Res Clin Rheumatol. 2006;20(3):401-17. https://doi.org/10.1016/j.berh.2006.02.001
  • 2. Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007;369(9570):1379-90. https://doi.org/10.1016/S0140-6736(07)60635-7
  • 3. Maksymowych WP. Spondyloarthropathies: Etiology and pathogenesis of ankylosing spondylitis. In: Hochberg M, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, editors. Rheumatology. 3rd ed. Elsevier Limited, Philadelphia, 2003: 1183-92.
  • 4. Van der linden S, Van der Heijde D, Juergen B. Ankylosing Spondylitis. In: Ruddy S, Harris E, Sledge C, Budd R, Firestein G, Genovese M (Eds.). Kelly’s textbook of Rheumatology. 7th Edi. Vol 2. Philadelphia: Elsevier Saunders; 2005, p.1125-41.
  • 5. Khorashadi L, Petscavage JM, Richardson ML. Postpartum pubic symphysis diastasis. Radiol Case Rep. 2015;6(3):542. https://doi.org/10.2484/rcr.v6i3.542
  • 6. Sequeira W. Diseases of the pubic symphysis. Semin Arthritis Rheum. 1986;16(1):11-21. https://doi.org/10.1016/0049-0172(86)90039-9
  • 7. Scott DL, Eastmond CJ, Wright V. A comparative radiological study of the pubic symphysis in rheumatic disorders. Ann Rheum Dis. 1979;38(6):529-34. https://doi.org/10.1136/ard.38.6.529
  • 8. .Jajić Z, Jajić I, Grazio S. Radiological changes of the symphysis in ankylosing spondylitis. Acta Radiol. 2000;41(4):307-9. https://doi.org/10.1080/028418500127345433
  • 9. Koo BS, Song Y, Joo KB, Lee S, Kim TH. Radiologic changes in the symphysis pubis of male patients with ankylosing spondylitis. J Rheumatol. 2016;43(2):330-4. https://doi.org/10.3899/jrheum.150711
  • 10. Linden SVD, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. Arthritis & Rheumatism 27(4);361-8. https://doi.org/10.1002/art.1780270401
  • 11. Van Der Heijde D, Bellamy N, Calin A, Dougados M, Khan MA, van der Linden S. Preliminary core sets for endpoints in ankylosing spondylitis. Assessments in Ankylosing Spondylitis Working Group. J Rheumatol. 1997;24(11):2225-
  • 12. Calin A, Garrett S, Whitelock H, Kennedy LG, O'Hea J, Mallorie P, et al. A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol. 1994;21(12):2281-5.
  • 13. Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol. 1994;21(12):2286-91.
  • 14. Jenkinson TR, Mallorie PA, Whitelock HC, Kennedy LG, Garrett SL, Calin A. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol. 1994 Sep; 21(9):1694-8.
  • 15. Creemers MCW, Franssen MJAM, van ’t Hof MA, et al. Assessment of outcome in ankylosing spondylitis: an extended radiographic scoring system. Annals Rheumatic Dis 2005;64:127-9. http://dx.doi.org/10.1136/ard.2004.020503
  • 16. Wanders AJ, Landewe RB, Spoorenberg A, Dougados M, van der Linden S, Mielants H, et al. What is the most appropriate radiologic scoring method for ankylosing spondylitis? A comparison of the available methods based on the Outcome Measures in Rheumatology Clinical Trials filter. Arthritis Rheum 2004;50(8):2622-32. https://doi.org/10.1002/art.20446
  • 17. Kormano M. Radiographic appearance of the public symphysis in old age and in rheumatoid arthritis. Acta Rheumatol Scand. 1971;17(4):286-94. https://doi.org/10.3109/rhe1.1971.17.issue-1-4.39
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi (Original Article)
Yazarlar

Arif Bilen 0000-0003-3656-8928

Mustafa Reşorlu 0000-0002-2941-8879

Hatice Resorlu 0000-0001-9889-1064

Yayımlanma Tarihi 29 Mayıs 2023
Gönderilme Tarihi 20 Nisan 2022
Kabul Tarihi 3 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 8 Sayı: 3

Kaynak Göster

APA Bilen, A., Reşorlu, M., & Resorlu, H. (2023). Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis. Family Practice and Palliative Care, 8(3), 53-57. https://doi.org/10.22391/fppc.1038830
AMA Bilen A, Reşorlu M, Resorlu H. Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis. Fam Pract Palliat Care. Mayıs 2023;8(3):53-57. doi:10.22391/fppc.1038830
Chicago Bilen, Arif, Mustafa Reşorlu, ve Hatice Resorlu. “Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis”. Family Practice and Palliative Care 8, sy. 3 (Mayıs 2023): 53-57. https://doi.org/10.22391/fppc.1038830.
EndNote Bilen A, Reşorlu M, Resorlu H (01 Mayıs 2023) Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis. Family Practice and Palliative Care 8 3 53–57.
IEEE A. Bilen, M. Reşorlu, ve H. Resorlu, “Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis”, Fam Pract Palliat Care, c. 8, sy. 3, ss. 53–57, 2023, doi: 10.22391/fppc.1038830.
ISNAD Bilen, Arif vd. “Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis”. Family Practice and Palliative Care 8/3 (Mayıs2023), 53-57. https://doi.org/10.22391/fppc.1038830.
JAMA Bilen A, Reşorlu M, Resorlu H. Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis. Fam Pract Palliat Care. 2023;8:53–57.
MLA Bilen, Arif vd. “Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis”. Family Practice and Palliative Care, c. 8, sy. 3, 2023, ss. 53-57, doi:10.22391/fppc.1038830.
Vancouver Bilen A, Reşorlu M, Resorlu H. Comparison of radiological changes in symphysis pubis and disease activity parameters in male patients with ankylosing spondylitis. Fam Pract Palliat Care. 2023;8(3):53-7.
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Family Practice and Palliative Care      ISSN 2458-8865       E-ISSN 2459-1505