Spondyloarthritis & psoriatic arthritis
Relationship Between Ultrasound and Physical Examination in the Assessment of Enthesitis in Patients With Spondyloarthritis: Results From the DEUS Multicenter Study
Authors' conclusion
Our study underscores the need for a comprehensive tool integrating ultrasound and physical examination for assessing enthesitis in patients with SpA.
Study context
- Population
- Patients with spondyloarthritis (SpA) (axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA)), 20 rheumatology centres; US and physical examination of large lower limb entheses4,130 entheses
- Participants
- 413 patients
- Exposure
- US vs physical examination for assessing enthesitis
- axSpAn = 224
- PsAn = 189
- Outcome
- Agreement between OMERACT US lesions of enthesitis and physical examination; prevalence and clinical relevance of subclinical enthesitis
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Patients with clinical enthesitis
158 (38.3%) of 413
Clinical enthesitis without "active enthesitis" on US
108
68.4%
Subclinical enthesitis among 255 without clinical enthesitis
39
15.3%
Observational data: associations, not effects.
Further findings
Subclinical enthesitis: associations
- Strongly associated with local structural damage
- No differences in demographic and clinical profiles of patients with vs without subclinical enthesitis
Original publication
Relationship Between Ultrasound and Physical Examination in the Assessment of Enthesitis in Patients With Spondyloarthritis: Results From the DEUS Multicenter Study. Arthritis Rheumatol. Published 15 October 2024. doi:10.
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