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Vol. 14. Num. 5.September - October 2018
Pages 251-316
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Vol. 14. Num. 5.September - October 2018
Pages 251-316
Brief Report
DOI: 10.1016/j.reumae.2017.03.010
Heel Pain in Psoriatic Arthropathy: Analysis of a Series of 291 Patients
La talalgia en la artropatía psoriásica. Análisis de una serie de 291 pacientes
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Isabel Morales Ivorraa, Pablo Juárez Lópeza, Mercè López de Recaldea, Pedro David Carvalhob, Jesus Rodriguez Morenoa,
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a Servicio de Reumatología, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
b Servicio de Reumatología, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
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Table 1. Baseline Characteristics and Results of the Statistical Analysis of the Demographic and Clinical Factors in the Cohort of Patients With Psoriatic Arthritis Studied in this Report.
Abstract
Objective

To determine the prevalence of heel pain in a series of patients with psoriatic arthritis (PsA).

Material and methods

Cross-sectional, observational and retrospective study of a series of 347 patients. All patients fulfilled the CASPAR criteria for PsA and 291 had a clinically significant history of heel pain. The statistical analysis was performed using chi-square test, ANOVA and binary logistic regression.

Results

Thirty-five percent of the patients had clinically significant heel pain. A significant association was established between an early onset of skin and joint involvement in the disease and the development of heel pain. However, no significant correlation was found between disease duration and the presence of heel pain. History of dactylitis and PsA in first-degree family members was also statistically associated with this complication.

Conclusions

Clinically significant heel pain was recorded in one third of the patients in this series. There was a statistically significant association with dactylitis, PsA in first-degree family members and an earlier onset of joint and skin disease.

Keywords:
Psoriatic arthritis
Psoriasis
Heel
Pain
Enthesopathy
Resumen
Objetivo

Determinar la prevalencia de talalgia clínicamente significativa en una serie de pacientes con artritis psoriásica (APs) y analizar su asociación con otras variables de la enfermedad.

Material y métodos

Estudio transversal, observacional, retrospectivo. De la cohorte de 347 pacientes afectos de APs, todos cumplían los criterios de clasificación CASPAR para APs, se seleccionaron 291 en los que estaba recogido el antecedente de talalgia clínicamente significativa. Para el análisis estadístico se ha utilizado la prueba de chi-cuadrado, el ANOVA y la prueba de regresión logística binaria.

Resultados

El 35% de los pacientes presentó talalgia clínicamente significativa. La talalgia se asoció significativamente con un inicio más precoz de la enfermedad cutánea y articular, pero no con la duración de la enfermedad. También fue significativa su asociación con la dactilitis y antecedente familiar de primer grado con APs.

Conclusiones

La talalgia clínicamente significativa se presentó en un tercio de los pacientes de la serie. Se asoció con dactilitis, antecedente familiar de primer grado con APs y un inicio más precoz de la enfermedad cutánea y articular.

Palabras clave:
Artritis psoriásica
Psoriasis
Talón
Dolor
Entesopatía

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