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Enthesitis

MedGen UID:
451081
Concept ID:
C1282952
Disease or Syndrome
Synonyms: enthesis inflammation; enthesitis; inflammation of enthesis; Inflammation of sharpey fibers; Inflammation of sharpey fibres; inflammatory enthesopathy
SNOMED CT: Enthesitis (359643005)
 
HPO: HP:0100686
Monarch Initiative: MONDO:0024419

Definition

Inflammation at the site of insertion of ligaments, tendons, and other fibrous structures into bone. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Enthesitis

Conditions with this feature

Spondyloarthropathy, susceptibility to, 1
MedGen UID:
400145
Concept ID:
C1862852
Finding
Spondyloarthropathy (SpA), one of the commonest chronic rheumatic diseases, includes a spectrum of related disorders comprising the prototype ankylosing spondylitis (AS), a subset of psoriatic arthritis (PsA), reactive arthritis (ReA), arthritis associated with inflammatory bowel disease, and undifferentiated spondyloarthropathy (Miceli-Richard et al., 2004). These phenotypes are difficult to differentiate because they may occur simultaneously or sequentially in the same patient. Studies have suggested that a predominant shared component, including HLA-B27, predisposes to all phenotypic subsets, and that these subsets should be considered as various phenotypic expressions of the same disease (Said-Nahal et al., 2000, Said-Nahal et al., 2001). Braun and Sieper (2007) provided a detailed review of ankylosing spondylitis, including clinical features, pathogenesis, and management. Genetic Heterogeneity of Susceptibility to Spondyloarthropathy Additional susceptibility loci for spondyloarthropathy have been identified on chromosome 9q31-q34 (SPDA2; 183840) and chromosome 2q36 (SPDA3; 613238).

Professional guidelines

PubMed

Coates LC, Soriano ER, Corp N, Bertheussen H, Callis Duffin K, Campanholo CB, Chau J, Eder L, Fernández-Ávila DG, FitzGerald O, Garg A, Gladman DD, Goel N, Helliwell PS, Husni ME, Jadon DR, Katz A, Laheru D, Latella J, Leung YY, Lindsay C, Lubrano E, Mazzuoccolo LD, Mease PJ, O'Sullivan D, Ogdie A, Olsder W, Palominos PE, Schick L, Steinkoenig I, de Wit M, van der Windt DA, Kavanaugh A; GRAPPA Treatment Recommendations domain subcommittees
Nat Rev Rheumatol 2022 Aug;18(8):465-479. Epub 2022 Jun 27 doi: 10.1038/s41584-022-00798-0. PMID: 35761070Free PMC Article
Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, Becker ML, Cron RQ, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Kimura Y, Lee T, Murphy K, Nigrovic PA, Ombrello MJ, Rabinovich CE, Tesher M, Twilt M, Klein-Gitelman M, Barbar-Smiley F, Cooper AM, Edelheit B, Gillispie-Taylor M, Hays K, Mannion ML, Peterson R, Flanagan E, Saad N, Sullivan N, Szymanski AM, Trachtman R, Turgunbaev M, Veiga K, Turner AS, Reston JT
Arthritis Care Res (Hoboken) 2022 Apr;74(4):521-537. Epub 2022 Mar 1 doi: 10.1002/acr.24853. PMID: 35233986Free PMC Article
Schett G, Lories RJ, D'Agostino MA, Elewaut D, Kirkham B, Soriano ER, McGonagle D
Nat Rev Rheumatol 2017 Nov 21;13(12):731-741. doi: 10.1038/nrrheum.2017.188. PMID: 29158573

Recent clinical studies

Etiology

Fattorini F, Gentileschi S, Cigolini C, Terenzi R, Pata AP, Esti L, Carli L
Clin Exp Rheumatol 2023 Nov;41(11):2142-2150. Epub 2023 Nov 14 doi: 10.55563/clinexprheumatol/9fhz98. PMID: 37965699
Taitt HA, Balakrishnan R
Immunol Allergy Clin North Am 2023 Aug;43(3):593-612. doi: 10.1016/j.iac.2022.10.001. PMID: 37394262
López-Ferrer A, Laiz A, Puig L
Med Clin (Barc) 2022 Jul 8;159(1):40-46. Epub 2022 May 4 doi: 10.1016/j.medcli.2022.01.024. PMID: 35525675
Taitt HA, Balakrishnan R
Emerg Med Clin North Am 2022 Feb;40(1):159-178. Epub 2021 Oct 29 doi: 10.1016/j.emc.2021.08.005. PMID: 34782086
Onel K, Rumsey DG, Shenoi S
Rheum Dis Clin North Am 2021 Nov;47(4):545-563. Epub 2021 Sep 2 doi: 10.1016/j.rdc.2021.07.009. PMID: 34635291

Diagnosis

López-Ferrer A, Laiz A, Puig L
Med Clin (Barc) 2022 Jul 8;159(1):40-46. Epub 2022 May 4 doi: 10.1016/j.medcli.2022.01.024. PMID: 35525675
Stober C
Best Pract Res Clin Rheumatol 2021 Jun;35(2):101694. Epub 2021 Jun 6 doi: 10.1016/j.berh.2021.101694. PMID: 34108102
Coates LC, Helliwell PS
Clin Med (Lond) 2017 Feb;17(1):65-70. doi: 10.7861/clinmedicine.17-1-65. PMID: 28148584Free PMC Article
Adrovic A, Barut K, Sahin S, Kasapcopur O
Curr Rheumatol Rep 2016 Aug;18(8):55. doi: 10.1007/s11926-016-0603-y. PMID: 27402112
Yurdakul S, Yazici H
Best Pract Res Clin Rheumatol 2008 Oct;22(5):793-809. doi: 10.1016/j.berh.2008.08.005. PMID: 19028364

Therapy

Napolitano M, Ruggiero A, Patruno C
Clin Exp Dermatol 2024 Mar 21;49(4):307-312. doi: 10.1093/ced/llad390. PMID: 38011313
Onel K, Rumsey DG, Shenoi S
Rheum Dis Clin North Am 2021 Nov;47(4):545-563. Epub 2021 Sep 2 doi: 10.1016/j.rdc.2021.07.009. PMID: 34635291
Schett G, Lories RJ, D'Agostino MA, Elewaut D, Kirkham B, Soriano ER, McGonagle D
Nat Rev Rheumatol 2017 Nov 21;13(12):731-741. doi: 10.1038/nrrheum.2017.188. PMID: 29158573
Barut K, Adrovic A, Şahin S, Kasapçopur Ö
Balkan Med J 2017 Apr 5;34(2):90-101. doi: 10.4274/balkanmedj.2017.0111. PMID: 28418334Free PMC Article
Poddubnyy D, Rudwaleit M
Rheum Dis Clin North Am 2012 May;38(2):387-403. Epub 2012 Jun 13 doi: 10.1016/j.rdc.2012.04.007. PMID: 22819091

Prognosis

Kaeley GS, Eder L, Aydin SZ, Rich P, Bakewell CJ
J Rheumatol 2021 Aug;48(8):1208-1220. Epub 2021 Feb 15 doi: 10.3899/jrheum.201471. PMID: 33589557
D'Agostino MA
Clin Exp Rheumatol 2018 Sep-Oct;36 Suppl 114(5):127-130. Epub 2018 Oct 1 PMID: 30296977
Barut K, Adrovic A, Şahin S, Kasapçopur Ö
Balkan Med J 2017 Apr 5;34(2):90-101. doi: 10.4274/balkanmedj.2017.0111. PMID: 28418334Free PMC Article
Adrovic A, Barut K, Sahin S, Kasapcopur O
Curr Rheumatol Rep 2016 Aug;18(8):55. doi: 10.1007/s11926-016-0603-y. PMID: 27402112
Jacques P, Mielants H, De Vos M, Elewaut D
Best Pract Res Clin Rheumatol 2008 Apr;22(2):325-37. doi: 10.1016/j.berh.2008.01.011. PMID: 18455688

Clinical prediction guides

McInnes IB, Rahman P, Gottlieb AB, Hsia EC, Kollmeier AP, Xu XL, Jiang Y, Sheng S, Shawi M, Chakravarty SD, van der Heijde D, Mease PJ
Arthritis Rheumatol 2022 Mar;74(3):475-485. Epub 2022 Feb 7 doi: 10.1002/art.42010. PMID: 34719872Free PMC Article
Kaeley GS, Eder L, Aydin SZ, Rich P, Bakewell CJ
J Rheumatol 2021 Aug;48(8):1208-1220. Epub 2021 Feb 15 doi: 10.3899/jrheum.201471. PMID: 33589557
Kaeley GS
Curr Rheumatol Rep 2020 Jul 21;22(9):48. doi: 10.1007/s11926-020-00927-2. PMID: 32696194
D'Agostino MA
Clin Exp Rheumatol 2018 Sep-Oct;36 Suppl 114(5):127-130. Epub 2018 Oct 1 PMID: 30296977
Mease PJ
Arthritis Care Res (Hoboken) 2011 Nov;63 Suppl 11:S64-85. doi: 10.1002/acr.20577. PMID: 22588772

Recent systematic reviews

McInnes IB, Sawyer LM, Markus K, LeReun C, Sabry-Grant C, Helliwell PS
RMD Open 2022 Mar;8(1) doi: 10.1136/rmdopen-2021-002074. PMID: 35321874Free PMC Article
Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, Becker ML, Cron RQ, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Kimura Y, Lee T, Murphy K, Nigrovic PA, Ombrello MJ, Rabinovich CE, Tesher M, Twilt M, Klein-Gitelman M, Barbar-Smiley F, Cooper AM, Edelheit B, Gillispie-Taylor M, Hays K, Mannion ML, Peterson R, Flanagan E, Saad N, Sullivan N, Szymanski AM, Trachtman R, Turgunbaev M, Veiga K, Turner AS, Reston JT
Arthritis Rheumatol 2022 Apr;74(4):553-569. Epub 2022 Mar 1 doi: 10.1002/art.42037. PMID: 35233993Free PMC Article
Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, Becker ML, Cron RQ, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Kimura Y, Lee T, Murphy K, Nigrovic PA, Ombrello MJ, Rabinovich CE, Tesher M, Twilt M, Klein-Gitelman M, Barbar-Smiley F, Cooper AM, Edelheit B, Gillispie-Taylor M, Hays K, Mannion ML, Peterson R, Flanagan E, Saad N, Sullivan N, Szymanski AM, Trachtman R, Turgunbaev M, Veiga K, Turner AS, Reston JT
Arthritis Care Res (Hoboken) 2022 Apr;74(4):521-537. Epub 2022 Mar 1 doi: 10.1002/acr.24853. PMID: 35233986Free PMC Article
Ringold S, Angeles-Han ST, Beukelman T, Lovell D, Cuello CA, Becker ML, Colbert RA, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Horonjeff J, Nigrovic PA, Ombrello MJ, Passo MH, Stoll ML, Rabinovich CE, Schneider R, Halyabar O, Hays K, Shah AA, Sullivan N, Szymanski AM, Turgunbaev M, Turner A, Reston J
Arthritis Care Res (Hoboken) 2019 Jun;71(6):717-734. Epub 2019 Apr 25 doi: 10.1002/acr.23870. PMID: 31021516Free PMC Article
Generali E, Scirè CA, Favalli EG, Selmi C
Expert Rev Clin Immunol 2016 Jun;12(6):651-60. Epub 2016 Feb 24 doi: 10.1586/1744666X.2016.1147954. PMID: 26821681

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