MR IMAGING FEATURES OF FOOT INVOLVEMENT IN PATIENTS WITH BEHCET’S DISEASE

Öz

Öz

Objective: To determine alterations of the soft tissues, tendons, cartilage, joint spaces, and bones of the foot using magnetic resonance MR imaging in patients with Behcet’s disease BD . Materials and methods: Clinical and MR examination of the foot was performed in 25 consecutive patients 50 ft with BD. As a control group, 15 healthy volunteers 30 ft were also studied. Joint effusion/synovitis, retrocalcaneal bursitis, Achilles tendinopathy, soft-tissue edema, para-articular enthesophytes, bone marrow edema, sinus tarsi syndrome, heel fat pad edema, enthesopathy at the Achilles attachment and at the plantar fascia attachment, tenosynovitis, subchondral cysts, bone erosions, joint space narrowing, subchondral signal changes, osteolysis, luxation, and sub-luxation were examined. Results: Clinical signs and symptoms pain and swelling of foot involvement were present in 20% 5/25 of the patients while frequency of involvement was 52% 13/25 by MR imaging. The most common MR imaging findings were joint effusion/synovitis 28% , tenosynovitis 24% , retrocalcaneal bursitis 24% ,enthesopathy in the plantar fascia attachment 20% , Achilles tendinopathy 16% , sinus tarsi syndrome 16% , heel fat pad edema 16% , and soft-tissue edema 12% . The most commonly involved anatomical region was the hindfoot 36% followed by midfoot 24% , ankle 16% and forefoot 4% . Conclusion: In conclusion, in this MR imaging study, we found a high prevalence of foot involvement in BD. We believe that foot involvement, being extremely important in the differential diagnosis of rheumatic diseases tend to be overlooked. Therefore, careful examination of the foot is required in the evaluation of BD, even if the patient has no complaints

Anahtar Kelimeler

• Behcet Syndrome,foot,MR imaging

Kaynakça

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