Are Ultrasound Findings Similar in Patients with Axial Spondyloarthritis and in Athlete Entheses?

Lanfranchi, Marie-Alix; Leluc, Olivier; Tavano, Alice; Wormser, Cécile; Morange, Sophie; Chagnaud, Christophe; Pradel, Vincent; Lafforgue, Pierre et al. · J Rheumatol · 2017

cross_sectional · Level IV

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Abstract

Enthesitis is the spondyloarthritis (SpA) landmark, but can also be seen after entheses overuse, such as during intensive sport. We aimed to compare entheses ultrasound (US) findings in a prospective cross-sectional study of 30 axial SpA cases, 30 athletes, and 29 controls. Mean (SD) MAdrid Sonographic Enthesis Index (MASEI) score was 26.3 (13), 12.2 (7), and 10.4 (6) in patients with SpA, athletes, and non-athlete control groups, respectively (p < 0.0001). The MASEI score was significantly higher in patients with SpA compared with healthy controls, athletes, and non-athletes, and can be of value to distinguish SpA from healthy subjects, whatever their physical activity.

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