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Clinical Case 1RotReuma                  Presentado por:                  Eduardo M. Rodelo, MD                  Residente...
Resumen de Historia Clínica42 years. 12 years with lower back pain and bilateral sacroileitis. Infliximab since 2006.   be...
Outcome
RMN Patient Nov 2011
RMN Nov 2011
RMN Edema óseoT1            T2Gd
RMN Nov 2011T2
Paraclinicos
Paraclinicos
ASDAS
Discussion• How are you usin MRI in yopur practice?• What do you thin about clinical, paraclinic and  Imagenologic respons...
Clinical  case 1 Rheumatology AS
Clinical  case 1 Rheumatology AS
Clinical  case 1 Rheumatology AS
Clinical  case 1 Rheumatology AS
Clinical  case 1 Rheumatology AS
Clinical  case 1 Rheumatology AS
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Clinical case 1 Rheumatology AS

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RotReuma Clinical cases 2012 . No 1

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Clinical case 1 Rheumatology AS

  1. 1. Clinical Case 1RotReuma Presentado por: Eduardo M. Rodelo, MD Residente de Medicina Interna; Fundacion Hospital Universidad del Norte Barranquilla, (ATL) COL Para: Carlo V. Caballero. Medicina Interna-Reumatología
  2. 2. Resumen de Historia Clínica42 years. 12 years with lower back pain and bilateral sacroileitis. Infliximab since 2006. before Metrotexate up to 15 mg-day and Sulfazalacine up to 1.5 grs-day.Clinical response with infliximab.(see outcome) for several years. PCR and VSG between normal range or ocasionally a little up.Rx ray twice in 2006 and 2010 with bilateral sacroileitis GIII-IVVery Ocasionally low back pain , or peripheral pain and enthesitis (chest, heel) because delayed treatment.I ordered a MRI to check those sacroiliac joints by this method and because he was with some low back pain last 3 month. See slides. Imagenologist said residual lesions? Pain dolor 6/10 Global VAS 4/10 BASDAI: 4.4 BASFI : 2.1 Distancia occipucio-pared: 9.5 cm Distancia punta de dedo–pie: 13 cm Schober test: Variación a la flexión 2.5 cm
  3. 3. Outcome
  4. 4. RMN Patient Nov 2011
  5. 5. RMN Nov 2011
  6. 6. RMN Edema óseoT1 T2Gd
  7. 7. RMN Nov 2011T2
  8. 8. Paraclinicos
  9. 9. Paraclinicos
  10. 10. ASDAS
  11. 11. Discussion• How are you usin MRI in yopur practice?• What do you thin about clinical, paraclinic and Imagenologic responses in this patient?• What would be your next step? Therapy

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