Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study
ObjectiveTo compare the assessment of entheses in subjects with spondyloarthritis (SpA) with patients with gout by the Madrid Sonographic Enthesis Index (MASEI).MethodThis cross-sectional study includes videos of entheses evaluated by ultrasound (US) of 30 patients with SpA diagnosed according to th...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.871760/full |
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| author | Lucio Ventura-Ríos Tomas Cazenave Cristina Hernández-Díaz Selma Gallegos-Nava Citlallyc Gómez-Ruiz Marcos Rosemffet Karina Silva-Luna Pedro Rodríguez-Henríquez Janitzia Vázquez-Mellado Julio Casasola-Vargas Esteban Cruz-Arenas Eugenio M. de Miguel |
| author_facet | Lucio Ventura-Ríos Tomas Cazenave Cristina Hernández-Díaz Selma Gallegos-Nava Citlallyc Gómez-Ruiz Marcos Rosemffet Karina Silva-Luna Pedro Rodríguez-Henríquez Janitzia Vázquez-Mellado Julio Casasola-Vargas Esteban Cruz-Arenas Eugenio M. de Miguel |
| author_sort | Lucio Ventura-Ríos |
| collection | DOAJ |
| description | ObjectiveTo compare the assessment of entheses in subjects with spondyloarthritis (SpA) with patients with gout by the Madrid Sonographic Enthesis Index (MASEI).MethodThis cross-sectional study includes videos of entheses evaluated by ultrasound (US) of 30 patients with SpA diagnosed according to the ASAS criteria and 30 patients with gout established by the presence of monosodium urate crystals. Entheses were evaluated for MASEI in 2 Institutes located in two different countries. Demographic and clinical data were registered. Total MASEI score, MASEI-inflammatory, and MASEI-chronic damage were analyzed. Comparisons between groups were obtained by chi-square test and Student's t-test. An inter-reading US reliability was realized.ResultsPatients with gout were older and had significantly more comorbidities than those with SpA. The total MASEI score was not significantly different among diseases (p = 0.07). MASEI-inflammatory was significantly more prevalent at the Achilles tendon in SpA, while the proximal patellar tendon was in gout. Power Doppler was higher in SpA compared to gout (p = 0.005). MASEI-chronic damage related to calcification/enthesophytes predominated in gout (p = 0.043), while calcaneal erosions did in SpA (p = 0.008). The inter-reader concordance was excellent (0.93, CI 95% 0.87–0.96, p = 0.001).ConclusionsSpA and gout similarly involve entheses according to MASE, however, some inflammatory and chronic lesions differ significantly depending on the underlying disease and tendon scanned. |
| first_indexed | 2024-04-14T05:00:39Z |
| format | Article |
| id | doaj.art-5ce77c9e26724925a2152b2f73d79057 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-14T05:00:39Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-5ce77c9e26724925a2152b2f73d790572022-12-22T02:10:59ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-05-01910.3389/fmed.2022.871760871760Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative StudyLucio Ventura-Ríos0Tomas Cazenave1Cristina Hernández-Díaz2Selma Gallegos-Nava3Citlallyc Gómez-Ruiz4Marcos Rosemffet5Karina Silva-Luna6Pedro Rodríguez-Henríquez7Janitzia Vázquez-Mellado8Julio Casasola-Vargas9Esteban Cruz-Arenas10Eugenio M. de Miguel11Laboratorio de Ultrasonido Musculoesquelético y Articular, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, MexicoDepartment of Rheumatology, Instituto de Rehabilitación Psicofísica, Buenos Aires, ArgentinaLaboratorio de Ultrasonido Musculoesquelético y Articular, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, MexicoDepartment of Rheumatology, Hospital General Dr. Darío Fernández Fierro, Mexico City, MexicoDepartment of Rheumatology, Hospital General de México, Mexico City, MexicoDepartment of Rheumatology, Instituto de Rehabilitación Psicofísica, Buenos Aires, ArgentinaService of Rheumatology, Hospital Universitario “Dr. JoséEleuterio González”, Monterrey, MexicoService of Rheumatology, Hospital General Dr. Manuel Gea González, México City, MexicoDepartment of Rheumatology, Hospital General de México, Mexico City, MexicoDepartment of Rheumatology, Hospital General de México, Mexico City, MexicoInstituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Unidad de Vigilancia Epidemiológica Hospitalaria-Investigación Sociomédica, México City, MexicoRheumatology Service, Hospital Universitario La Paz, Madrid, SpainObjectiveTo compare the assessment of entheses in subjects with spondyloarthritis (SpA) with patients with gout by the Madrid Sonographic Enthesis Index (MASEI).MethodThis cross-sectional study includes videos of entheses evaluated by ultrasound (US) of 30 patients with SpA diagnosed according to the ASAS criteria and 30 patients with gout established by the presence of monosodium urate crystals. Entheses were evaluated for MASEI in 2 Institutes located in two different countries. Demographic and clinical data were registered. Total MASEI score, MASEI-inflammatory, and MASEI-chronic damage were analyzed. Comparisons between groups were obtained by chi-square test and Student's t-test. An inter-reading US reliability was realized.ResultsPatients with gout were older and had significantly more comorbidities than those with SpA. The total MASEI score was not significantly different among diseases (p = 0.07). MASEI-inflammatory was significantly more prevalent at the Achilles tendon in SpA, while the proximal patellar tendon was in gout. Power Doppler was higher in SpA compared to gout (p = 0.005). MASEI-chronic damage related to calcification/enthesophytes predominated in gout (p = 0.043), while calcaneal erosions did in SpA (p = 0.008). The inter-reader concordance was excellent (0.93, CI 95% 0.87–0.96, p = 0.001).ConclusionsSpA and gout similarly involve entheses according to MASE, however, some inflammatory and chronic lesions differ significantly depending on the underlying disease and tendon scanned.https://www.frontiersin.org/articles/10.3389/fmed.2022.871760/fullultrasoundenthesesspondyloarthritisgoutMASEI |
| spellingShingle | Lucio Ventura-Ríos Tomas Cazenave Cristina Hernández-Díaz Selma Gallegos-Nava Citlallyc Gómez-Ruiz Marcos Rosemffet Karina Silva-Luna Pedro Rodríguez-Henríquez Janitzia Vázquez-Mellado Julio Casasola-Vargas Esteban Cruz-Arenas Eugenio M. de Miguel Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study Frontiers in Medicine ultrasound entheses spondyloarthritis gout MASEI |
| title | Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study |
| title_full | Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study |
| title_fullStr | Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study |
| title_full_unstemmed | Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study |
| title_short | Entheseal Involvement in Spondyloarthritis (SpA) and Gout: An Ultrasound Comparative Study |
| title_sort | entheseal involvement in spondyloarthritis spa and gout an ultrasound comparative study |
| topic | ultrasound entheses spondyloarthritis gout MASEI |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.871760/full |
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