Enthesopathy in rheumatoid arthritis and spondyloarthritis: An ultrasound study

We aimed to compare the prevalence of enthesopathy seen on ultrasonography (US) in spondyloarthritis (SpA) and rheumatoid arthritis (RA) and compared it to healthy controls. All included patients with RA (2010 ACR/EULAR criteria) and SpA (ASAS criteria) and healthy controls underwent clinical and US...

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Bibliographic Details
Published in:Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2018-10, Vol.85 (5), p.577-581
Main Authors: Ebstein, Esther, Coustet, Baptiste, Masson-Behar, Vanina, Forien, Marine, Palazzo, Elisabeth, Dieudé, Philippe, Ottaviani, Sébastien
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis, Rheumatoid - diagnostic imaging
Arthritis, Rheumatoid - epidemiology
Arthritis, Rheumatoid - physiopathology
Comorbidity
Cross-Sectional Studies
Entesopathy
Enthesitis
Enthesopathy - diagnostic imaging
Enthesopathy - epidemiology
Enthesopathy - physiopathology
Female
Humans
Incidence
Male
Middle Aged
Observer Variation
Prognosis
Rheumatoid arthritis
Severity of Illness Index
Spondylarthritis - diagnostic imaging
Spondylarthritis - epidemiology
Spondylarthritis - physiopathology
Spondyloarthritis
Statistics, Nonparametric
Ultrasound
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Summary:We aimed to compare the prevalence of enthesopathy seen on ultrasonography (US) in spondyloarthritis (SpA) and rheumatoid arthritis (RA) and compared it to healthy controls. All included patients with RA (2010 ACR/EULAR criteria) and SpA (ASAS criteria) and healthy controls underwent clinical and US evaluation of enthesis at seven sites (quadriceps, proximal and distal patellar, Achilles and triceps tendons, plantar aponeurosis and lateral epicondyle enthesis). The Glasgow Ultrasound Enthesitis Scoring System (GUESS) and the Madrid Sonographic Enthesitis Index (MASEI) scores were determined by two sonographers blinded to clinical data. We included 30 patients with RA (mean age: 55.7±14.8 years, mean disease duration 10.5±7.9years); 41 with SpA (mean age: 45.3±15.4 years, mean disease duration 9.2±8.7years) and 26 healthy controls (HC) (mean age: 50.4±17.3years). Patients with SpA and RA had similar prevalence of painful enthesis of examined sites (17% vs. 14%, non-significant [ns]), but more than among in healthy controls (3%, P
ISSN:1297-319X
1778-7254
DOI:10.1016/j.jbspin.2017.11.014