Demographic, clinical and radiological characteristics of seronegative spondyloarthritis Egyptian patients: A rheumatology clinic experience in Mansoura

作者: Adel Abdelsalam , Samar Tharwat , Marwa Abo Almauty , Amira F. Barakat , Asmaa Farouk Enein

DOI: 10.1016/J.EJR.2016.08.002

关键词: Internal medicineRheumatologyArthritisPsoriatic arthritisEnthesitisMedicineAnkylosing spondylitisPhysical therapyDactylitisSacroiliitisReactive arthritis

摘要: Abstract Introduction Seronegative spondyloarthritis (SpA) is a group of chronic potentially disabling diseases that affect mainly axial joints in addition to extra-articular manifestations such as enthesitis, dactylitis and uveitis. Aim the work To assess demographic features, clinical radiological findings SpA Egyptian patients. Patients methods Fifty-three patients were recruited from Rheumatology Immunology Unit Mansoura University Hospital. Demographic, therapeutic data collected. Skin was carefully assessed for psoriasis. Erythrocyte sedimentation rate (ESR) C-reactive protein (CRP) measured. All evaluated by conventional radiographs hands, knees, ankles, sacroiliac (SIJ) lumbosacral spines magnetic resonance imaging (MRI) SIJs. Results Ankylosing spondylitis (AS) most prevalent (55%) followed psoriatic arthritis (PsA) (38%) 2 had enteropathic arthritis, one reactive another undifferentiated SpA. The mean age 39 ± 10.8 years; disease duration 10 ± 3.5 years with male predominance (58%). Inflammatory low back pain present all 77.4% both peripheral arthritis. Extra-articular bursitis detected only 9.4% Sacroiliitis 81.1% using radiographs. MRI bone marrow edema 9.4%, narrowing 11.3%, sclerosis 17% ankylosis 52.8%. Conclusion demographic, characteristics are comparable those other countries except lower prevalence manifestations.

参考文章(40)
Walter P. Maksymowych, Imaging in spondyloarthritis. Advances in Experimental Medicine and Biology. ,vol. 649, pp. 17- 36 ,(2009) , 10.1007/978-1-4419-0298-6_2
Polito E, Sampaio-Barros Pd, Campanholo C, Skare Tl, Bianchi Wa, Costa Ip, Menin R, Ximenes Ac, Kohem Cl, Meirelles Es, Pinheiro Mm, Leite N, Lima Sa, Carneiro S, Gonçalves Cr, Bértolo Mb, Carvalho Hm, Resende Gg, Pereira Ia, Rocha Fa, Santiago Mb, Bortoluzzo Ab, Ribeiro Sl, Gavi Mb, Duarte Ap, Vieira Wp, Sauma Mde F, Albuquerque Ed, Keiserman M, da Silva Ja, Azevedo Vf, Bonfiglioli R, Effect of age at disease onset in the clinical profile of spondyloarthritis: a study of 1424 Brazilian patients. Clinical and Experimental Rheumatology. ,vol. 30, pp. 351- 357 ,(2012)
M.A. Gutiérrez, RESPONDIA. Iberoamerican Spondyloarthritis Registry: Chile Reumatología clínica. ,vol. 4, pp. 41- 47 ,(2008)
Kaipiainen-Seppänen O, Aho K, Incidence of chronic inflammatory joint diseases in Finland in 1995. The Journal of Rheumatology. ,vol. 27, pp. 94- 100 ,(2000)
Sinsuke Hukuda, Kanji Shichikawa, Hirofumi Makino, Nobuo Matsui, Hiroshi Mitsui, Takashi Sakou, Michio Minami, Taiho Shibata, Yoshio Komatsubara, Terunobu Saito, Masao Shingu, Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. The Journal of Rheumatology. ,vol. 28, pp. 554- 559 ,(2001)
Carmen Stolwijk, Annelies Boonen, Astrid van Tubergen, John D. Reveille, Epidemiology of Spondyloarthritis Rheumatic Diseases Clinics of North America. ,vol. 38, pp. 441- 476 ,(2012) , 10.1016/J.RDC.2012.09.003
YASSER EMAD, YASSER RAGAB, TAMER GHEITA, ASHRAF ANBAR, HODA KAMAL, AHMED SAAD, HANAN DARWEESH, NASHWA EL-SHAARAWY, AMR AZAB, AHMED ISMAIL, JOHANNES J. RASKER, JOHANNES J. RASKER, Knee enthesitis and synovitis on magnetic resonance imaging in patients with psoriasis without arthritic symptoms. The Journal of Rheumatology. ,vol. 39, pp. 1979- 1986 ,(2012) , 10.3899/JRHEUM.120301
P. Trontzas, A. Andrianakos, S. Miyakis, K. Pantelidou, E. Vafiadou, V. Garantziotou, C. Voudouris, Seronegative spondyloarthropathies in Greece: a population-based study of prevalence, clinical pattern, and management. The ESORDIG study. Clinical Rheumatology. ,vol. 24, pp. 583- 589 ,(2005) , 10.1007/S10067-005-1106-9
Kimberly K. Amrami, Imaging of the Seronegative Spondyloarthopathies Radiologic Clinics of North America. ,vol. 50, pp. 841- 854 ,(2012) , 10.1016/J.RCL.2012.04.010
N Zeboulon, M Dougados, L Gossec, Prevalence and characteristics of uveitis in the spondyloarthropathies: a systematic literature review Annals of the Rheumatic Diseases. ,vol. 67, pp. 955- 959 ,(2008) , 10.1136/ARD.2007.075754