Involvement of foot in patients with spondyloarthritis: Prevalence and clinical features. Issue 2 (April 2019)

• Record Type: Journal Article
• Authors: Sahli, Hana; Bachali, Asma; Tekaya, Raoudha; Mahmoud, Ines; Sedki, Yassine; Saidane, Olfa; Abdelmoula, Leila
• Is Part Of: Foot and ankle surgery. Volume 25:Issue 2(2019)
• Page Start: 226
• Page End: 230
• Publication Date: 2019-04
• Subjects: Foot -- Spondyloarthritis -- Heel pain -- Psoriatic arthritis -- Ankylosing spondylitis; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2017.10.016
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: Foot involvement is more frequent in spondyloarthritis with peripheral localization. Foot involvement was associated with late onset of the disease. Foot involvement was associated with comorbidities and blood inflammation. Abstract: Background: The purpose of this study was to evaluate the foot involvement in a group of patients with spondyloarthritis in regard to symptoms, type and frequency of deformities, location and radiological changes. Methods: We conducted a cross sectional study including 60 patients with spondyloarthritis over a period of six months. Anamnesis, clinical examination, podoscopic examination, biological tests and X-rays of feet were done for each patient. Results: Foot involvement was found in 31 patients (52%). It was symptomatic in 35% of cases and inaugural in 42% of cases. The most frequent site was the hindfoot (22 patients/31). Radiological findings were: erosion (17%), reconstruction (33%), erosion and reconstruction (50%). Forefoot involvement was found in 18/31 patients. Forefoot deformities were found in 9 patients. Two patients had sausage toe and feet skin abnormalities were observed in 12 patients. At podoscopic examination, 23 patients had abnormal footprints. Foot involvement was more frequent in peripheral spondyloarthritis ( p = 0.008). Patients with foot involvement had an advanced age of disease onset ( p = 0.05), a shorter disease duration ( p = 0.038) and more comorbidities (p = 0.039). Foot involvement was correlated with C Reactive protein ( p = 0.043). Conclusion: In our study, foot involvement and foot symptoms were seen frequently in spondyloarthritis and it is associated with late onset of the disease and with higher inflammation in blood tests.