Docteur SOPHIE LECLERC-JACOB

Bibliographie

• Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases

  2020

  ArticleInflammatory Intestinal Diseases

• The prevalence of inflammatory sacroiliitis assessed on magnetic resonance imaging of inflammatory bowel disease: a retrospective study performed on 186 patients

  2014

  ArticleAlimentary Pharmacology & Therapeutics

• Prevalence Of Structural and Inflammatory Sacroiliitis, Assessed Using Computed Tomography and MR Imaging, In Inflammatory Bowel Disease: A Retrospective Study In 78 Patients

  2013

  CongrèsAMERICAN COLLEGE OF RHEUMATOLOGY 77th Annual Meeting, ASSOCIATION OF RHEUMATOLOGY HEALTH PROFESSIONALS 48th Annual Meeting

Source : HAL — archive ouverte CCSD/CNRS (couvre articles, chapitres EMC, communications congrès, thèses).

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• C.P.A.M.

  C.P.A.M., SERVICE MEDICAL - ASS. MALADIE — 14 RUE DE LA CLE D'OR, 88000 Épinal

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Top publications · les plus citées

• 1

  The prevalence of inflammatory sacroiliitis assessed on magnetic resonance imaging of inflammatory bowel disease: a retrospective study performed on 186 patients

  Alimentary pharmacology & therapeutics · 2014

  📚 37 citations🎯 RCR 1.52

  Lire l'abstract Crossref ↓

  SummaryBackgroundMagnetic resonance imaging (MRI) colonography or enterography is increasingly used to assess disease activity and complications in inflammatory bowel disease (IBD). However, no study has evaluated the role of this imaging technique to assess sacroiliitis.AimThe primary objective was to assess the prevalence of inflammatory sacroiliitis on MRI performed for IBD investigation. The secondary aim was to elucidate clinico‐biological factors associated with the presence of sacroiliitis.MethodsThis study was performed on 186 patients suffering from IBD followed in a gastroenterology department between 2004 and 2011: 131 with Crohn's disease and 55 with ulcerative colitis. Clinico‐biological and endoscopic data were collected and MR enterography or colonography was performed to assess IBD activity on axial and coronal fat suppressed injected T1‐weighted sequences. On MRI, sacroiliitis was scored blindly by two independent readers according to ASAS (Assessment of SpondyloArthritis international Society) criteria.ResultsThe prevalence of inflammatory sacroiliitis was 16.7% (n = 31). Sacroiliitis was bilateral in 14 cases and unilateral in 17 cases. The sacroiliac joints were considered normal in 144 cases and doubtful in 11 cases. Older age and female gender were significantly associated with the presence of sacroiliitis. Other factors such as type of IBD, disease duration and localisation of IBD, surgery history, biological inflammation, bowel disease activity and treatment were not associated with sacroiliitis.ConclusionInflammatory sacroiliitis was evidenced by MRI in 16.7% in patients suffering from IBD. Added to clinico‐biological data, MRI analysis should contribute to an earlier diagnosis of axial spondylarthritis in patients with IBD.

• 2

  Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases

  Inflammatory intestinal diseases · 2020

  📚 6 citations🔓 Open Access📄 PDF gratuit ↗

  Lire l'abstract Crossref ↓

  <b><i>Background:</i></b> Joint damage is the most frequent extraintestinal manifestation in inflammatory bowel disease (IBD). <b><i>Aims:</i></b> The aim of the study was to assess the value of low back pain (LBP) associated with sacroiliitis on abdominal imaging for the diagnosis of spondyloarthritis (SpA) in IBD. <b><i>Methods:</i></b> We used a questionnaire assessing rheumatological symptoms for all patients with abdominal computed tomography (CT) and magnetic resonance enterography (MRE). Sacroiliitis was assessed on available CT and MRE. Patients were classified as axial SpA according to the Assessment of SpondyloArthritis International Society criteria. <b><i>Results:</i></b> Fifty-one patients completed the questionnaire and performed both exams. LBP was present in 27 patients (52.9%), and 10 (19.6%) had an inflammatory component. Sacroiliitis was reported in 12 patients (23.5%), and 6 of them suffered from LBP. Among the 20 patients referred to the rheumatologist, 11 patients suffered from LBP. One patient was HLA-B27 positive and presented sacroiliitis. For the last 10 patients, none of them had a sacroiliitis, and 2 patients were negative for HLA-B27. <b><i>Conclusion:</i></b> An axial SpA has been diagnosed in 11.8% of IBD patients undergoing cross-sectional imaging, whereas one-fifth had inflammatory LBP, and sacroiliitis was observed in one-quarter of them. To optimize the diagnosis of axial SpA, HLA-B27 testing might be required for patients with both IBD and LBP, but this will require further investigation before its implementation in routine practice.

Publications scientifiques (2) — classées par pathologie

Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).

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