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dc.contributor.authorVahidfar, Shahla
dc.contributor.authorSunar, Ismihan
dc.contributor.authorAtaman, Sebnem
dc.contributor.authorYilmaz, Gurkan
dc.contributor.authorAzarabadi, Javid M.
dc.contributor.authorBolukbasi, Ayse
dc.date.accessioned2021-08-17T09:49:25Z
dc.date.available2021-08-17T09:49:25Z
dc.date.issued2020
dc.identifier.issn1756-1841en_US
dc.identifier.urihttp://hdl.handle.net/11727/6266
dc.description.abstractPurpose: The aim is to evaluate Achilles tendon enthesopathy with ultrasound (US) in ankylosing spondylitis (AS) and non-radiographic axial SpA (nr-axSpA) patients and controls, and compare these groups in terms of associations between disease activity parameters and ultrasonographic Achilles enthesitis signs. Methods: A total of 24 AS and 20 nr-axSpA patients fulfilling the Assessment in Spondyloarthritis International Working Group criteria for axSpA and 30 controls were enrolled. Demographic characteristics, erythrocyte sedimentation rate, C-reactive protein (CRP), human leukocyte antigen (HLA)-B27, Bath AS Disease Activity Index, Bath AS Functional Index, Bath AS Metrology Index, Maastricht AS Enthesitis Score (MASES), AS Disease Activity Score-CRP, modified Stoke AS Spine Score (m-SASSS) scores and ultrasonographic findings were noted. Results: HLA-B27 positivity, extra-articular and peripheral involvement, disease activity, functional status, mean m-SASSS, ultrasonographic gray scale (GS) and total scores were similar between AS and nr-axSpA groups. In GS, tendon echotexture scores were significantly different across all groups (0.812 +/- 0.384 in AS, 0.575 +/- 0.466 in nr-axSpA, 0.017 +/- 0.091 in controls; P < .001). Entheseal calcification scores were similar in AS and nr-axSpA patients, and higher than controls (P = .001). Bone profile scores were similar in patients with AS and nr-axSpA, and higher than controls (P = .010). When the correlations between US findings and disease activity and functional status were considered, power Doppler US (PDUS) and MASES total scores were positively correlated in the AS group (P = .045; r = .41). Conclusion: AS and nr-axSpA patients were found to be similar in various clinical, functional, and US findings indicating that these 2 entities are different phenotypic reflections of the same disease spectrum. The positive correlation between PDUS and MASES scores in AS patients substantiate the performance of MASES in evaluation of entheseal activity.en_US
dc.language.isoengen_US
dc.relation.isversionof10.1111/1756-185X.13796en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectachillesen_US
dc.subjectankylosing spondylitisen_US
dc.subjectenthesitisen_US
dc.subjectnon-radiographic axial spondyloarthritisen_US
dc.subjectultrasounden_US
dc.titleUltrasonographic evaluation of Achilles tendon: Is there any difference between ankylosing spondylitis, non-radiographic axial spondyloarthropathy and controls?en_US
dc.typearticleen_US
dc.relation.journalINTERNATIONAL JOURNAL OF RHEUMATIC DISEASESen_US
dc.identifier.volume23en_US
dc.identifier.issue4en_US
dc.identifier.startpage511en_US
dc.identifier.endpage519en_US
dc.identifier.wos000509278700001en_US
dc.identifier.scopus2-s2.0-85078670831en_US
dc.contributor.pubmedID31985181en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US


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