Objectives. To investigate the relationship between enthesitis and disease activity, functional status, fatigue, joint mobility, radiological damage, laboratory parameter and quality of life in patients with ankylosing spondylitis (AS).
Methods. A total of 421 patients with AS (323 male and 98 female) who were included in the Turkish League Against Rheumatism Registry were enrolled in the study. The Bath AS Disease Activity Index (BASDAI), fatigue, the Bath AS Functional Index (BASFI), the Bath AS Metrology Index (BASMI), the Maastricht AS Enthesitis Score (MASES), AS quality of life (ASQoL), the Bath AS Radiology Index (BASRI) and erythrocyte sedimentation rate (ESR) were evaluated.
Results. Enthesitis was detected in 27.3% of patients. There were positive correlations between MASES and BASDAI, BASFI and fatigue (p < 0.05). MASES was not correlated with BASRI, BASMI, ASQoL and ESR. The mean MASES score was 1.1 +/- 2.4. The most frequent regions of enthesopathies were right iliac crest, spinous process of L5 and proximal to the insertion of left achilles tendon, respectively.
Conclusions. Enthesitis was found to be associated with higher disease activity, higher fatigue, worse functional status and lower disease duration. As enthesitis was correlated with BASDAI, we conclude that enthesitis can reflect the disease activity in patients with AS.
C1 [Rezvani, Aylin; Demir, Saliha Eroglu] Bezmialem Vakif Univ, Fac Med, Dept Phys Med & Rehabil, Istanbul, Fatih Istanbul, Turkey.
[Bodur, Hatice] Ankara Numune Training & Res Hosp, Phys Med & Rehabil Clin, Ankara, Turkey.
[Ataman, Sebnem] Ankara Univ, Fac Med, Div Rheumatol, Dept Phys Med & Rehabil, TR-06100 Ankara, Turkey.
[Kaya, Taciser] Izmir Bozyaka Training & Res Hosp, Phys Med & Rehabil Clin, Izmir, Turkey.
[Bugdayci, Derya Soy] Istanbul Phys Med & Rehabil Training & Res Hosp, Istanbul, Turkey.
[Kocyigit, Hikmet] Izmir Katip Celebi Univ, Phys Med & Rehabil Clin, Ataturk Training & Res Hosp, Izmir, Turkey.
[Altan, Lale; Sivrioglu, Koncuy] Uludag Univ, Fac Med, Dept Phys Med & Rehabil, Bursa, Turkey.
[Ugurlu, Hatice] Selcuk Univ, Dept Phys Med & Rehabil, Meram Fac Med, Konya, Turkey.
[Kirnap, Mehmet] Erciyes Univ, Fac Med, Dept Phys Med & Rehabil, Kayseri, Turkey.
[Gur, Ali] Gaziantep Univ, Fac Med, Dept Phys Med & Rehabil, Gaziantep, Turkey.
[Kozanoglu, Erkan] Cukurova Univ, Fac Med, Dept Phys Med & Rehabil, Adana, Turkey.
[Akinci, Aysen] Hacettepe Univ, Fac Med, Dept Phys Med & Rehabil, TR-06100 Ankara, Turkey.
[Tekeoglu, Ibrahim] Sakarya Univ, Fac Med, Dept Phys Med & Rehabil, Div Rheumatol, Sakarya, Turkey.
[Sahin, Gunsah] Mersin Univ, Dept Phys Med & Rehabil, Fac Med, Mersin, Turkey.
[Bal, Ajda] Diskapi Yildirim Beyazit Training & Res Hosp, Phys Med & Rehabil Clin, Ankara, Turkey.
[Yazgan, Pelin] Harran Univ, Dept Phys Med & Rehabil, Fac Med, Urfa, Turkey.
[Aydin, Gulumser] Kirikkale Univ, Dept Phys Med & Rehabil, Fac Med, Kirikkale, Turkey.
[Hepguler, Simin] Ege Univ, Dept Phys Med & Rehabil, Fac Med, Izmir, Turkey.
[Olmez, Nese] Ataturk Training & Res Hosp, Phys Med & Rehabil Clin, Izmir, Turkey.
[Sendur, Omer Faruk] Adnan Menderes Univ, Dept Phys Med & Rehabil, Fac Med, Aydin, Turkey.
[Yener, Mahmut] Suleyman Demirel Univ, Dept Phys Med & Rehabil, Fac Med, TR-32200 Isparta, Turkey.
[Altay, Zuhal] Inonu Univ, Dept Phys Med & Rehabil, Fac Med, Malatya, Turkey.
[Ayhan, Figen; Nacir, Baris] Ankara Numune Training & Res Hosp, Phys Med & Rehabil Clin, Ankara, Turkey.
[Durmus, Oguz] GATA Haydarpasa Training & Res Hosp, Phys Med & Rehabil Clin, I stanbul, Turkey.
[Duruoz, Mehmet Tuncay] Celal Bayar Univ, Div Rheumatol, Dept Phys Med & Rehabil, Fac Med, Manisa, Turkey.
[Gunendi, Zafer] Gazi Univ, Dept Phys Med & Rehabil, Fac Med, Ankara, Turkey.
[Oken, Oznur; Delialioglu, Sibel Unsal] AnkaraPhys Med & Rehabil Training & Res Hosp, Ankara, Turkey.
[Toktas, Hasan] Afyon Kocatepe Univ, Dept Phys Med & Rehabil, Fac Med, Afyon, Turkey.
[Evcik, Deniz] Ankara Univ, Dept Therapy & Rehabil, Haymana Vocat Sch, TR-06100 Ankara, Turkey.
[Evcik, Deniz] Ufuk Univ, Fac Med Ankara, Dept Phys Med & Rehabil, Ankara, Turkey.
[Sertpoyraz, Filiz Meryem] Tepecik Training & Res Hosp, Phys Med & Rehabil Clin, Izmir, Turkey.