Enthesitis and its relationships with disease parameters in Moroccan patients with ankylosing spondylitis

Abstract

In this study, we evaluated the relationship between enthesitis and clinical, laboratory and quality-of-life parameters in ankylosing spondylitis (AS) in Moroccan patients. Seventy-six patients were included in this cross-sectional study according to the modified New York criteria for AS. All patients had enthesitis involvement. Clinical and biological parameters were evaluated. Enthesitis were assessed by two indices: Mander Enthesis Index (MEI) and Maastricht Ankylosing Spondylitis Enthesitis Score (MASES). Disease activity was evaluated by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Functional impact was assessed by the Bath Ankylosing Spondylitis Functional Index (BASFI). The quality of life was measured by the Short form-36 (SF-36). Severity of enthesitis was significantly correlated with disease activity, functional disability and degradation of quality of life. There was no relation between enthesitis indices and disease duration or laboratory parameters. The clinical assessment of enthesitis in AS is an important outcome measure, and enthesitis indices could be used to evaluate disease activity in patients with AS.

Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index in turkish patients with ankylosing spondylitis: Relationship with disease activity and quality of life

“…Pain is one of the most important parameters in AS patients, and enthesitis severity and pain intensity can be used together in the follow‐up of these patients. In previous studies no relationship was found between enthesitis severity and disease duration . Similarly, in this trial disease duration was not different in patients with and without enthesitis, and SPARCC enthesitis index was not associated with disease duration.…”

“…As different enthesitis indexes were used, the most frequently detected regions of enthesitis were different in various studies . In a study which assessed severity of enthesitis with SPARCC enthesitis index, the most frequently affected entheses were found to be the greater trochanter and supraspinatus entheses .…”

“…Previously, the researchers investigated the relationship between quality of life and disease activity or functional status of the patients suffering from AS . Nevertheless, there are a few studies assessing the relationship between enthesitis severity and SF‐36 domains in patients with AS …”

“…The relationship between enthesitis and disease parameters in AS patients has been studied previously, but these studies had conflicting results . To date, no studies have assessed enthesitis using the SPARCC enthesitis index and its relation with disease activity and quality of life in AS patients in our country (Turkey).…”

Evolution of the Quality of Life Concept in Morocco Case of Rheumatoid Arthritis and Ankylosing Spondylitis

“…Parallèlement, la détérioration des domaines de la qualité de vie était bien associée à celle de la limitation fonctionnelle engendrée par la SPA [18]. Enfin, les auteurs ont conclu que l'atteinte enthésique elle aussi perturbait la qualité de vie des patients atteints de SPA [19]. D'autres travaux ont suivi avec pour même objectif explorer les facteurs qui seraient liés à une altération de la qualité de vie des patients souffrant de SPA.…”