Clinical and epidemiological characteristics of patients with spondiloatritis. A multicentric study

  • Jhonatan Losanto Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay
  • Pedro Delgadillo Instituto de Previsión Social, Hospital Central, Servicio de Reumatología. Asunción, Paraguay
  • Susan Riquelme Instituto de Previsión Social, Hospital Central, Servicio de Reumatología. Asunción, Paraguay
  • Lourdes Román Instituto de Previsión Social, Hospital Central, Servicio de Reumatología. Asunción, Paraguay
  • Pedro Babak Instituto de Previsión Social, Hospital Central, Servicio de Reumatología. Asunción, Paraguay
  • Nelly Colmán Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay
  • Gabriela Ávila-Pedretti Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay
  • Aldo Ojeda Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay
  • Julio Mazzoleni Instituto de Previsión Social, Hospital Central, Servicio de Reumatología. Asunción, Paraguay
  • Yanira Yinde Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay
  • Margarita Duarte Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay
Keywords: Autoimmune inflammatory spondyloarthropathies, clinical, epidemiology, quality of life

Abstract

Introduction: The term Spondylarthritis is a group of chronic inflammatory diseases, with similar clinical features of axial involvement, or peripheral arthritis, dactylitis, enthesitis, uveitis and the presence of HLA B27, insidious, progressive onset, of these patients. Objective: To describe the epidemiological and clinical characteristics of a group of patients with Spondylarthritis. Methods: A multicenter, descriptive study of a cohort of patients with Spondylarthritis, comprising patients from Hospital de Clínicas and the Central Hospital of IPS. ASAS for Spondylarthritis. A clinical and epidemiological questionnaire was completed and completed with physical examination, laboratory and imaging studies. The mental state and selfesteem, the quality of life and the functional capacity of the standardized methods were evaluated. The qualitative variables are expressed in frequencies and percentages and the quantitative ones in means with their standard deviation. The analysis was performed with the statistical program SPSS V.23.0. Results: Twenty-six patients with an H / M ratio of 10/3, with mean age of 39.7±13.06 years and 171.4±152.2 months of disease progression were recorded. Among comorbidities, 6/26 (23.1%) presented arterial hypertension and osteoarthritis with the same frequency (85.7%), and pain at night lumbar pain in 22/26 (84.6%). 23/26 (88.5%) of the patients had axial involvement, with resonance sacroiliitis in 20/22 (90.9%), Presented HLA B27 13/16 (81.3%). At physical examination, the finger to floor distance of 22, 97±17.45cm, and modified Schöber 4,25±1.95 cm. The average activity for BASDAI was 2.5±2.7, none had depression, and 17/25 (68%) had high self-esteem. Conclusion: In this study we describe the main clinical-epidemiological characteristics of patients with Spondylarthritis, we continue in the great care centers of our country.

Downloads

Download data is not yet available.

References

(1) Stolwijk C, Boonen A, van Tubergen A, Reveille J. Epidemiology of Spondyloarthritis. Rheumatic Disease Clinics of North America. 2012;38(3):441-476.

(2) Sieper J, Rudwaleit M, Khan M, Braun J. Concepts and epidemiology of spondyloarthritis. Best Practice & Research Clinical Rheumatology. 2012;20(3):401-417.

(3) Bakland G, Nossent H. Epidemiology of spondyloarthritis: A review. C urrent Rheumatology Reports. 2013;15(9):Article number 351.

(4) Burgos R, Peláez I. Epidemiology of Spondyloarthritis in Mexico. The American Journal of the Medical Sciences. 2011;341(4):298-300.

(5) Van Tubergen A. The changing clinical picture and epidemiology of spondyloarthritis. Nature Reviews Rheumatology. 2014;11(2): 110-118.

(6) Sampaio P. Epidemiology of Spondyloarthritis in Brazil. The American Journal of the Medical Sciences. 2013;341(4):287-288.

(7) Benegas M, Muñoz-Gomariz E, Font P, Burgos-Vargas R, Chaves J, Palleiro D, et al. Comparison of the clinical expression of patients with ankylosing spondylitis from Europe and Latin America. J Rheumatol. 2012 Dec;39(12):2315-208.

(8) Gallinaro AL, Ventura C, Sampaio Barros PD, Gonçalves CR. Spondyloarthritis: analysis of a Brazilian series compared with a large I bero-American registry (RESPONDIA group). Rev Bras Reumatol. 2010 Sep-Oct;50(5):581-9.

(9) Casals-Sánchez JL, García De Yébenes Prous MJ, Descalzo Gallego MÁ, Barrio Olmos JM, Carmona Ortells L, Hernández García C; Grupo de Estudio em AR II. Characteristics of patients with spondyloarthritis followed in rheumatology units in Spain. emAR II study. R eumatol Clin. 2012 May-Jun;8(3):107-13.

Published
2017-06-27
How to Cite
1.
Losanto J, Delgadillo P, Riquelme S, Román L, Babak P, Colmán N, Ávila-Pedretti G, Ojeda A, Mazzoleni J, Yinde Y, Duarte M. Clinical and epidemiological characteristics of patients with spondiloatritis. A multicentric study. Rev. parag. reumatol. [Internet]. 2017Jun.27 [cited 2025Apr.2];3(1):15-9. Available from: http://revista.spr.org.py/index.php/spr/article/view/68
Section
ORIGINAL ARTICLES

Most read articles by the same author(s)