Semin Musculoskelet Radiol 2018; 22(02): 147-165
DOI: 10.1055/s-0038-1639468
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Imaging Features of the Juvenile Inflammatory Arthropathies

Iwona Sudoł-Szopińska
1   Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation and Department of Medical Imaging, Medical University of Warsaw, Warsaw, Poland
,
Lennart Jans
2   Department of Radiology, Ghent University Hospital, Gent, Belgium
,
Anne Grethe Jurik
3   Department of Radiology, Aarhus University Hospital and Department of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark
,
Robert Hemke
4   Department of Radiology and Nuclear Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
,
Iris Eshed
5   Department of Radiology, Sheba Medical Centre, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Nathalie Boutry
6   Department of Paediatric Imaging, Hospital Jeanne de Flandre, CHU Lille, France
› Author Affiliations
Further Information

Publication History

Publication Date:
19 April 2018 (online)

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Abstract

We discuss the imaging of several juvenile inflammatory arthropathies including juvenile idiopathic arthritis, juvenile systemic lupus erythematosus, juvenile scleroderma, juvenile dermatomyositis, and chronic recurrent multifocal osteomyelitis. Juvenile idiopathic arthritis is the most common autoimmune chronic systemic disease of connective tissue in children. The remaining systemic juvenile connective tissue diseases are rare. However, they require early diagnosis and initiation of treatment to prevent injury, not only to the musculoskeletal system but also to the internal organs, and even death. Imaging of juvenile inflammatory arthropathies has relied for years on radiography. Recent advances in disease-modifying drugs have led to a greater emphasis on the detection of early inflammation not evident on plain radiography. Ultrasound examination allows for the early recognition of the disease process in the soft tissues. Magnetic resonance imaging detects early inflammatory changes involving the soft tissues, the subcortical bone of peripheral joints, the spine, and entheses.

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