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    Case report: Seronegative spondyloarthropathy in FMF: Accompaniment or manifestation?
    (2005) Baysal Ö.; Baysal T.; Altay Z.; Öner T.
    The arthritis of Familial Mediterranean Fever (FMF) is characterized either by repeated attacks of synovitis and polyserositis of short duration or, less commonly, by protracted monoarthritis that may persist for many weeks or months. Sacroiliac joint involvement in FMF is reported to be rare and limited to a few number of series. It is still controversial that seronegative spondyloarthropathy (SNSA) seen in FMF indicates a SNSA being musculoskeletal component of FMF or just an accompaniment. We present a FMF case who had protracted arthritis, inflammatory back pain and sacroiliitis refractory to colchicine treatment. The findings of the patient could only be relieved by spesific SNSA treatment suggesting that SNSA may be a manifestation of FMF.
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    The value of mammographic magnification technique in the evaluation of hand and wrist radiographs in rheumatoid arthritis
    (2002) Baysal Ö.; Baysal T.; Alkan A.; Fidan F.; Altay Z.; Ersoy Y.
    The purpose of this study was to determine the efficacy of direct magnification radiographs in comparison to optically magnified conventional radiographs in the diagnosis of erosive changes and joint space narrowing seen in the hand and wrists of rheumatoid arthritis patients. In thirty one rheumatoid arthritis patients (26 women and 5 men) dominant hand conventional radiographs magnified with a hand lens and direct magnified radiographs (1.5X) using the standart magnification equipment of the mammography unit were compared. A scoring system was used in the evaluation of erosive changes and joint space narrowings. Total scores of both erosions (p<0.0001) and joint space narrowing (p<0.02) were significantly higher in direct magnification radiographs compared to optically magnified conventional radiographs. In early rheumatoid patients, with a disease duration of less than one year, total score of erosions was significantly higher in direct magnification technique compared to optical magnification technique (p<0.001). Our findings revealed that, direct magnification radiographs obtained using standart magnification equipment of the mammographv unit were superior to opticallv magnified conventional radiographs in demonstrating erosive changes particularly in the hands and wrists of patients with early rheumatoid arthritis.