Document Detail


Enthesitis in spondyloarthropathy.
MedLine Citation:
PMID:  10411377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Inflammation at the insertions of ligaments, tendons, or joint capsules to bone, which is termed enthesitis, is a characteristic feature of spondyloarthropathy. Because of the relative inaccessibility of the enthesis, the inflammatory, microbiologic, and immunologic events at that site have been poorly defined. Recent magnetic resonance imaging studies have drawn attention to the ubiquitous nature of enthesitis in spondyloarthropathies, especially adjacent to synovial joints. This may have implications for the mechanisms of synovitis in spondyloarthropathies. Magnetic resonance imaging studies also suggest that enthesitis lesions may be extensive, which could explain the diffuse nature of bone changes seen in some patients with spondyloarthropathies. The importance of enthesitis as a skeletal phenomenon in spondyloarthropathies has gained further support from transgenic models in which either tumor necrosis factor-alpha or bone morphogenetic protein-6 overexpression result in entheseal-associated polyarthropathy.
Authors:
D McGonagle; M A Khan; H Marzo-Ortega; P O'Connor; W Gibbon; P Emery
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in rheumatology     Volume:  11     ISSN:  1040-8711     ISO Abbreviation:  Curr Opin Rheumatol     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-08-24     Completed Date:  1999-08-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9000851     Medline TA:  Curr Opin Rheumatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  244-50     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, University of Leeds, UK. D.G.McGonagle@leeds.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Animals
Bursitis / etiology*,  pathology,  radiography
Humans
Magnetic Resonance Imaging
Spondylitis, Ankylosing / complications*,  pathology,  radiography
Synovial Membrane / pathology,  radiography
Tendinopathy / etiology*,  pathology,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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