Corrélations entre les scores cliniques, radiographique et échographiques d’enthésite au cours de la spondylarthrite ankylosante

Hamdi, Wafa; Chelli-Bouaziz, Mouna; Ahmed, Mohamed Salah; Ghannouchi, Mohamed Mehdi; Kaffel, Dhia; Ladeb, Mohamed Fethi; Kchir, Mohamed Montacer

doi:10.1016/j.rhum.2010.08.013

Cited by 2 publications

(4 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis of enthesitis is both an essential element for the positive diagnosis and a parameter for the evaluation of the disease activity. 32 Several indices have been proposed for the evaluation of enthesitis activity, the MASES, LEI and SPARCC scores. MASES remains the most used index because, in addition to its good metrological properties, it takes into account the major peripheral and axial entheseal sites affected by SpA.…”

Section: Resultsmentioning

confidence: 99%

“…MASES remains the most used index because, in addition to its good metrological properties, it takes into account the major peripheral and axial entheseal sites affected by SpA. 32 Ultrasound coupled with Doppler remains the examination of choice to confirm both the diagnosis and follow the evolution of enthesitis. 32 …”

Section: Resultsmentioning

confidence: 99%

“… 32 Ultrasound coupled with Doppler remains the examination of choice to confirm both the diagnosis and follow the evolution of enthesitis. 32 …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Recommendations of the Moroccan Society of Rheumatology (SMR) for Diagnostic Management of Spondyloarthritis (SpA) and Psoriatic Arthritis (PsA)

Bentaleb,

Oulkadi,

Jaouad

et al. 2023

MJR

View full text Add to dashboard Cite

In 2017, the Moroccan Society of Rheumatology (SMR) issued guidelines for the treatment of severe ankylosing spondylitis. The emergence of new therapeutic classes, the update of international guidelines for axial SpA and psoriatic arthritis, and the diagnostic and therapeutic challenges encountered by rheumatologists has led to the development of recent SMR guidelines for the management of SpA patients. A group-work included rheumatologists, specialists in physical medicine and rehabilitation, and epidemiologists from various sectors was tasked with writing these recommendations based on a literature review, then adapting them to the national context. Thus, 33 recommendations were selected and organized into two sections: diagnostic and therapeutic. The diagnostic section included three general principles and fourteen recommendations. The first, second, and third recommendations concerned the definition and diagnostic criteria for psoriatic arthritis and psoriatic arthritis. In the management of SpA, Recommendation 4 prioritized the importance of opportunity windows. The recommendation5 concerned the diagnostic and prognostic significance of HLAB27. The sixth and seventh recommendations related to imaging of the sacroiliac joints and the spine. The eighth recommendation focuses on the diagnosis and evaluation of perivascular thrombosis activity. The ninth and tenth recommendations concerned the evaluation of SpA activity and psoriatic arthritis. The eleventh and twelfth recommendations concern the evaluation of function and structural progression. The recommendation number thirteen concerned the diagnosis and treatment of coxitis. Recommendation 14 focuses on the most common co-morbidities and extra-rhinitological manifestations observed in SpA.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Recommendations of the Moroccan Society of Rheumatology (SMR) for Diagnostic Management of Spondyloarthritis (SpA) and Psoriatic Arthritis (PsA)

Bentaleb,

Oulkadi,

Jaouad

et al. 2023

MJR

View full text Add to dashboard Cite

show abstract

“…Its prevalence in the general population has been estimated around 2-7 % [6], but is higher in patients with chronic rheumatic diseases such as axSpA, where it's estimated between 14-16% [8], ranging from 11.1% (6.0-16.2%) to 20.3% (6.5-34.1%) according to axSpA sub-classification [9]. This prevalence is similar when compared to other chronic rheumatic diseases [10][11][12][13].…”

Section: Introductionmentioning

confidence: 84%

Evaluation of the agreement between the ACR 1990 fibromyalgia tender points and an enthesitis score in patients with axial spondyloarthritis

et al. 2022

View full text Add to dashboard Cite

Objectives Coexistence of fibromyalgia (FM) represents a challenge in the evaluation of enthesitis in patients with axial spondyloarthritis (axSpA) due to a possible overlap between the tender points (TP) due to enthesitis and those of FM. The objective was to assess the agreement between the MASES enthesitis score and the tender points of the ACR 1990 criteria in patients with axSpA. Methods This was a cross-sectional ancillary analysis of the Predict-SpA study (NCT03039088). Patients had a diagnosis of axSpA according to their rheumatologist and an indication to start a TNFα blocker. All patients were screened for FM according to the FiRST questionnaire. A physician was asked to assess 31 anatomically-described sites in a random order without knowing to which instrument the site belonged (i.e. the 18 ACR 1990 TP and the 13 MASES sites). Agreement between the MASES and the ACR 1990 TPs by the intraclass correlation coefficient (ICC), also stratified by the presence/absence of concomitant FM according to the FiRST. Results Among the 526 patients, 53% were men and 202 (38%) had FM. Radiographic sacroiliitis and MRI sacroiliitis were present in 56% and 68% patients, respectively. Patients were mostly men (53.4%) with radiographic and MRI sacroiliitis in 56% and 68% patients, respectively. Mean number of ACR 1990 TP was 5.4 (SD 4.6) and mean MASES was 4.2 (SD 3.6). ICC between both scores was 0.7 (95%CI [0.6–0.8]). ICC between both scores was 0.6 (95%CI [0.3–0.8]) and 0.7 (95%CI [0.6–0.7]) for patients with and without FM, respectively. Conclusion These results suggest a significant overlap between both scores in patients with axSpA, including in those without concomitant FM. Trial registration clinicaltrials.gov, https://clinicaltrials.gov, NCT03039088

show abstract

Corrélations entre les scores cliniques, radiographique et échographiques d’enthésite au cours de la spondylarthrite ankylosante

Cited by 2 publications

References 27 publications

Recommendations of the Moroccan Society of Rheumatology (SMR) for Diagnostic Management of Spondyloarthritis (SpA) and Psoriatic Arthritis (PsA)

Recommendations of the Moroccan Society of Rheumatology (SMR) for Diagnostic Management of Spondyloarthritis (SpA) and Psoriatic Arthritis (PsA)

Evaluation of the agreement between the ACR 1990 fibromyalgia tender points and an enthesitis score in patients with axial spondyloarthritis

Contact Info

Product

Resources

About