Description of ultrasonic imaging characteristics of enthesitis in ankylosing spondylitis

Nguyen Đinh Khoa1, Nguyen Thị Tuyen Tran2, Thị Nụ Đỗ3, , Pham Thy Thien2, Tran Ngoc Huu Đuc1, Nguyen Thu Huong1, Nguyen Thi Tuyet Hang1, Bui Phu Quang1, Le Thanh Toan1, Tran Thanh Thong1, Nguyen Thi Nhan1, Đo Thi Kim Hien1, Trinh Ty Hon1
1 Cho Ray Hospital
2 Pham Ngoc Thach University of Medicine
3 Bệnh viện Chợ Rẫy

Main Article Content

Abstract

Objective: Research sonogram characteristic of entheses in ankylosing spondylitis (AS) patients and related factors.


Methods: A prospective, cross-sectional study with 87 AS patients in Cho Ray hospital from 10/2022 to 08/2023.


Results: Among 522 tendon attachment points in 87 patients with AS, 37.9% of entheses showed signs of inflammation when examined by software ultrasound. The proportion of tendon attachment points with inflammation on ultrasound but no clinical symptoms of inflammation are 29.9%. Hypoechoic images and increased tendon size are the most common lesions on ultrasound, accounting for 19.9% and 18.3%. No differences were noted in the average duration of illness, the rate of HLA-B27 antigen presence, the increase in CRP levels, the average BASDAI score, the average ASDAS-CRP score between the group of patients with enthesitis on ultrasound compared to the group without inflammation on ultrasound.


Conclustion: Ultrasound is a good tool to help detect and monitor enthesitis in patients with AS. No differences were noted in the average duration of illness, the rate of HLA-B27 antigen presence, the increase in CRP levels, the average BASDAI score, the average ASDAS-CRP score between the group of patients with enthesitis on ultrasound compared to the group without inflammation on ultrasound.

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References

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