enthesiopathy


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enthesiopathy

; enthesitis acute or chronic inflammation at insertion of tendon or ligament into periosteum and underlying bone, characterized by local pain and/or swelling, and possible spur formation; complication of plantar fasciitis; typical of anykylosing spondylitis and other sero-negative arthropathies (see Table 1)
Table 1: Common features of the range of types of sero-negative inflammatory arthritis
FeatureComment
Leukocyte antigen type90% of patients with sero-negative arthritis test positive for human leukocyte antigen (HLA) B27
Skeletal involvementAxial skeleton/spinal involvement; with back pain (common presenting first symptom)
EnthesopathyInflammation at insertions of ligaments/tendons (posterior calcaneum, plantar calcaneum, base of fifth metatarsal, forefoot)
Soft-tissue swellingsLocalized swelling at Achilles tendon insertion
Bursitis of congenital/adventitious bursae
SynovitisDactylitis/'sausage' toe
Generalized swelling of fore foot
VasculitisNote: Does not tend to affect foot in sero-negative arthritides
RadiographsBone/periosteal fluffy/'whiskery' proliferation
New bone/spur formation at entheses, secondary to inflammation
References in periodicals archive ?
2) The different clinical manifestations observed in these different disorders include spinal (axial) involvement, peripheral arthritis, enthesiopathy, and extra-articular manifestations such as uveitis, psoriasis, and inflammatory bowel disease.
axial involvement, enthesiopathy, peripheral arthritis, extra-articular symptoms) and not on a diagnosis of a specific disease belonging to the concept of spondyloarthritis (e.