Evaluation of the european spondylarthropathy study group preliminary classification criteria in alaskan eskimo populations

Boyer, Georgiana S.; Templin, David; Goring, Wendell P.

doi:10.1002/art.1780360414

Cited by 40 publications

(13 citation statements)

References 6 publications

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“…The ASAS criteria had the highest sensitivity compared to ESSG criteria and mNY criteria 98.4%, 83.6% and 71.9%, respectively [32] . In other studies of different ethnicities, lower sensitivity for mNY but similar sensitivity for ESSG was reported [33][34][35] . Recently, the French Society of Rheumatology presented the DESIR cohort.…”

Section: Spondyloarthritis In Generalsupporting

confidence: 80%

Classification criteria for spondyloarthropathies

Akgül

Özgöçmen²

2011

WJO

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Spondyloarthropathies (SpA) are a group of inflammatory arthritis which consist of ankylosing spondylitis (AS), reactive arthritis, arthritis/spondylitis associated with psoriasis (PsA), and arthritis/spondylitis associated with inflammatory bowel diseases. It is now more important than ever to diagnose and treat SpA early. New therapeutic agents including blockers of tumor necrosis factor have yielded tremendous responses not only in advanced disease but also in the early stages of the disease. Sacroiliitis on conventional radiography is the result of structural changes which may appear late in the disease process. However, magnetic resonance imaging (MRI) can visualize active inflammation at sacroiliac joints and spine in recent onset disease. The modified New York criteria, the European Spondyloarthropathy Study Group criteria and the Amor criteria do not include advanced imaging techniques like MRI which is very sensitive to the early Inflammatory changes. Assessment of SpondyloArthritis international Society has defined MRI methods for the assessment of sacroiliac joints and spine, criteria for inflammatory back pain and developed new criteria for classification of axial and peripheral spondyloarthritis. These new criteria are intended to be used for patients with SpA at the very early stage of their disease. Also, classification of psoriatic arthritis study group developed criteria for the classification of PsA. The widespread use of these criteria in clinical trials will provide evidence for a better definition of early disease and recognize many patients who may further develop classical AS or PsA. These efforts will guide therapeutic trials of potent drugs like biological agents in the early stage of these diseases.

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Section: Spondyloarthritis In Generalsupporting

confidence: 80%

Classification criteria for spondyloarthropathies

Akgül

Özgöçmen²

2011

WJO

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“…The resultant sensitivity ranged from 40% to 46% and the corresponding PPVs were also low, suggesting that these criteria are not particularly helpful in the diagnosis of the milder forms of spondyloarthropathy. As whole, however, their high sensitivity and speci®city have been con®rmed in recent studies [19,20].…”

Section: Discussionmentioning

confidence: 98%

Subclinical Sacroiliitis in Inflammatory Bowel Disease: A Clinical and Follow-up Study

Queiró¹,

Maíz²,

Intxausti³

et al. 2000

Clin Rheumatol

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The aim of this study was to evaluate the clinical features, evolution and reliability of spondyloarthropathy criteria in a subset of patients with subclinical sacroiliitis and inflammatory bowel disease (IBD). All patients with IBD (n 62) attending a gastroenterology clinic from a referral centre were included to assess the prevalence of articular involvement. Patients were evaluated according to a specific protocol designed for the study, which included epidemiological and clinical variables, physical examination and radiological assessment. Only those with subclinical sacroiliitis were followed prospectively for 4 years. This group was visited every 6 months with the same initial protocol. Sacroiliac joints were studied using frontal and oblique X-ray views and graded according to New York criteria. HLA B27 typing was performed by serological methods in all patients and in 80 healthy controls. The reliability of Amor and ESSG criteria for spondyloarthropathy was evaluated. Fifteen patients (24%) presented with isolated subclinical sacroiliitis. In this group a higher frequency of peripheral arthritis and erythema nodosum was observed (p = NS compared to those without sacroiliitis). Most cases (60%) were grade II unilateral sacroiliitis. Three patients were HLA B27+ (p>0.05 compared to healthy controls). The resultant sensitivity of Amor's and ESSG criteria ranged from 40% to 46%. An unexpectedly high freuqency (9.5%) of psoriasis was observed in the whole group. There is a high prevalence of isolated subclinical sacroiliitis in IBD. This may represent a forme fruste of enteropathic ankylosing spondylitis, a stunted form of axial involvement because of therapy, or a third category of rheumatic disease associated with IBD. It may also represent a common characteristic of spondyloarthropathies, rather than a specific finding of IBD. The recently developed spondyloarthropathy criteria are not particularly helpful for the diagnosis of this milder form of spondyloarthropathy.

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“…Le pourcentage dans la population générale de HLAB27 est de 5 à 10 % [10], en revanche, le pourcentage de ce marqueur tissulaire dans la spondylarthrite est de 80 à 95 % et de 70 % dans les spondylarthropathies indifféren-ciées [26]. L'utilisation de ce marqueur seul chez les lombalgiques chroniques n'a pas de valeur clinique diagnostique puisque la probabilité post-test n'excède pas 30 %, ce marqueur n'a de valeur que s'il est combiné aux autres paramètres cliniques et d'imagerie [12,[27][28][29] …”

Section: Hlab27unclassified