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Results 47 patients (29 M, 18F), complained of inflammatory back pain, after a mean interval of 9 months (range 0 – 4 yrs11 m) from disease onset. In all symptomatic pts dynamic MRI of the sacroiliac joints was performed, and was positive in 28/47 (17 M, 11 F). We identified 25 pts with grade I SI (5 unilateral and 20 bilateral), 1 pt with grade II bilateral SI, and 2 pts with grade 2/I SI (right/left). In 16 patients (57%) treatment with sulphasalazine (SSZ) was started, in 11 (39%) with NSAIDs only, and in one with Adalimumab. After 1 year, 12 pts remained symptomatic and MRI was repeated, and 6 still had radiological signs of SI, including 5 with bilateral SI grade I and one with grade II/I SI. They were on treatment with NSAIDs (n=2) and SSZ (n=4); the 6 pts in which MRI was negative were also treated with NSAIDs (n=2) and SSZ (n=4). Three of them still had a positive MRI after 2 years (all on SSZ).

Usefulness of MRI in the follow-up of ERA-related sacroiliitis, and effectiveness of treatment with sulphasalazine