Spondyloarthritis & psoriatic arthritis

Clinical phenotypes and therapeutic outcomes in enteropathic arthritis: a multivariate analysis from a retrospective cohort

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

The significantly higher likelihood of developing enthesitis in IBD-first suggests that distinct disease onset patterns and clinical phenotypes may influence musculoskeletal manifestations and treatment responses in enteropathic arthritis.

Study context

Population
Patients with SpA-IBD evaluated by both rheumatologists and gastroenterologists at a multidisciplinary ImmunoCenter, March 2022 to March 2024
Participants
66 patients
Exposure
Inflammatory bowel diseases (IBD)-first vs spondyloarthritis (SpA)-first presentation of enteropathic arthritis
  • IBD-firstn = 47
  • SpA-firstn = 19reference
Outcome
Associations between disease onset and specific musculoskeletal manifestations; predictors of therapeutic multi-failure
Methodological detailsmultidisciplinary ImmunoCenter, multivariate logistic regression
  • Multidisciplinary ImmunoCenter
  • Multivariate logistic regression

Main finding

As reported in the abstract

Enthesitis at SpA onset

P = 0.021

Observational data: associations, not effects.

Further findings

Enthesitis during follow-up

P = 0.034

Axial involvement

Peripheral involvement

OutcomeOR (95% CI)P value
Developing enthesitis, multivariate logistic regression adjusted for confoundersAdjusted for confounders0.267 (0.076–0.942)P = 0.040

Therapeutic multi-failure: psoriasis as predictor

OR (95% CI)P value
Psoriasis6.39 (1.60–25.47)P = 0.009
  • Developing enthesitis, multivariate logistic regression adjusted for confounders: IBD-first reported as associated with a higher likelihood of enthesitis

Axial involvement

No significant difference

Peripheral involvement

No significant difference

Laboratory parameters

No significant differences between the two groups

Therapeutic multi-failure: psoriasis as predictor

Other phenotypic features not significantly predictive

Original publication

Clinical phenotypes and therapeutic outcomes in enteropathic arthritis: a multivariate analysis from a retrospective cohort. Clin Exp Rheumatol. Published 20 December 2024. doi:10.55563/clinexprheumatol/l57crv

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