Utilidad de la ecografía en la evaluación de las entesis periféricas en las espondiloartritis / Usefulness of ultrasonography in the assessment of peripheral enthesis in spondyloarthritis

La inflamación de la entesis es una de las manifestaciones etiopatogénicas características de las espondiloartritis. Sin embargo, en la práctica clínica, su presencia pasa muchas veces desapercibida debido a la falta de precisión y de sensibilidad de la exploración física para detectarla. Son necesarias pruebas de imagen viables, válidas y fiables para un diagnóstico precoz, y con buena sensibilidad al cambio para monitorizar respuesta terapéutica. En este trabajo, se revisan los aspectos más relevantes de los conocimientos actuales de la entesis y se analiza la validez de la ecografía para valorar entesitis en pacientes con espondiloartritis, así como su sensibilidad al cambio para monitorizar respuesta terapéutica (AU)

Enthesitis is one of the characteristic etiopathogenic manifestations of spondyloarthritis. However, in clinical practice, its presence often goes unnoticed because of the lack of precision and sensitivity of physical examination to detect it. Viable, valid and reliable imaging tests are needed for early diagnosis, as well as a good sensitivity to change to monitor therapeutic response. In this paper we review the most relevant aspects of current knowledge of the enthesis and discusses the validity of ultrasound for assessing enthesitis in spondyloarthritis and its sensitivity to change to monitor therapeutic response (AU)

Usefulness of ultrasonography in the assessment of peripheral enthesis in spondyloarthritis.

Enthesitis is one of the characteristic etiopathogenic manifestations of spondyloarthritis. However, in clinical practice, its presence often goes unnoticed because of the lack of precision and sensitivity of physical examination to detect it. Viable, valid and reliable imaging tests are needed for early diagnosis, as well as a good sensitivity to change to monitor therapeutic response. In this paper we review the most relevant aspects of current knowledge of the enthesis and discusses the validity of ultrasound for assessing enthesitis in spondyloarthritis and its sensitivity to change to monitor therapeutic response.