Achilles tendinitis in systemic lupus erythematosus: search for an associated inflammatory disease.

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  • Additional Information
    • Source:
      Publisher: SAGE Publications Country of Publication: England NLM ID: 9204265 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-0962 (Electronic) Linking ISSN: 09612033 NLM ISO Abbreviation: Lupus Subsets: MEDLINE
    • Publication Information:
      Publication: London : SAGE Publications
      Original Publication: Houndmills, Basingstoke, Hampshire, UK : Scientific & Medical Division, Macmillan Press Ltd., c1991-
    • Subject Terms:
      Achilles Tendon/*pathology ; Lupus Erythematosus, Systemic/*complications ; Spondylarthritis/*diagnosis ; Tendinopathy/*diagnosis; Adrenal Cortex Hormones/therapeutic use ; Adult ; Female ; HLA-B27 Antigen/genetics ; Humans ; Lupus Erythematosus, Systemic/drug therapy ; Male ; Middle Aged ; Retrospective Studies ; Spondylarthritis/drug therapy ; Tendinopathy/drug therapy
    • Abstract:
      Objectives: Except for traumatic and iatrogenic causes, Achilles tendinitis (AT) is mostly encountered in the context of inflammatory rheumatic diseases. This study aimed to describe AT in systemic lupus erythematosus (SLE).
      Patients and Methods: Among 158 SLE patients who fulfilled the SLE criteria of the ACR classification followed between 1980 and 2013, we selected those who experienced at least one episode of AT not caused by traumatic or toxicity factors.
      Results: Eight patients (one male, seven females), median age 52 years (range: 35-68), presented with 11 episodes of AT within an average of 10.5 (0-21) years after SLE diagnosis. Clinical presentation of SLE was mainly cutaneous (eight of eight), and articular (seven of eight). Axial symptoms were reported in six patients, two of whom had HLA-B27-positive status, and fulfilled the Amor and European Spondylarthropathy Study Group criteria. Resolution of AT was good with nonsteroidal anti-inflammatory topical or systemic drug therapies, which kept SLE quiescent and avoided any increase of specific treatment.
      Conclusion: Although the association is rare, when AT occurs in SLE patients, physicians should look for associated spondylarthritis.
      (© The Author(s) 2015.)
    • Contributed Indexing:
      Keywords: Achilles tendinitis; Spondylarthritis; Systemic lupus erythematosus
    • Accession Number:
      0 (Adrenal Cortex Hormones)
      0 (HLA-B27 Antigen)
    • Publication Date:
      Date Created: 20150313 Date Completed: 20160922 Latest Revision: 20150919
    • Publication Date:
      20231215
    • Accession Number:
      10.1177/0961203315576590
    • Accession Number:
      25761656