Kassab Orthopedics Institute, Rheumatology Department, Ksar Saïd, Tunisia; University Tunis el Manar, Faculty of Medicine, Tunis, Tunisia; Research Unit UR17SP04, 2010, Ksar Said, 2010 Tunis, Tunisia.
Kassab Orthopedics Institute, Rheumatology Department, Ksar Saïd, Tunisia; University Tunis el Manar, Faculty of Medicine, Tunis, Tunisia; Research Unit UR17SP04, 2010, Ksar Said, 2010 Tunis, Tunisia.
J Pediatr (Rio J). 2022 May-Jun;98(3):223-229. doi: 10.1016/j.jped.2021.08.002. Epub 2021 Sep 28.
In this article, the authors aimed to review the different tools used in the monitoring of enthesitis-related arthritis.
The authors performed a literature review on PubMed, Google Scholar, and Scopus databases. The dataset included the original research and the reviews including patients with enthesitis-related arthritis or juvenile spondylarthritis up to October 2020.
Enthesitis-related arthritis is a category of juvenile idiopathic arthritis. It is characterized by the presence of enthesitis, peripheral arthritis, as well as axial involvement. The only validated tool for disease activity measurement in juvenile idiopathic arthritis is the Disease Activity Score: It has proven its reliability and sensitivity. Nevertheless, due to an absence of validated evaluation tools, the extent of functional impairment, as well as the children and parents' perception of the disease, could not be objectively perceived. Despite the great progress in the field of imaging modalities, the role they play in the evaluation of disease activity is still controversial. This is partially due to the lack of validated scoring systems.
Further work is still required to standardize the monitoring strategy and validate the outcome measures in enthesitis-related arthritis.
本文作者旨在回顾用于监测附着点关节炎的不同工具。
作者在 PubMed、Google Scholar 和 Scopus 数据库中进行了文献回顾。数据集包括截至 2020 年 10 月的原始研究和综述，包括附着点关节炎或青少年脊柱关节炎患者。
附着点关节炎是青少年特发性关节炎的一种类型。其特征为附着点炎、外周关节炎和轴性受累。青少年特发性关节炎疾病活动度测量的唯一经过验证的工具是疾病活动评分：它已被证明具有可靠性和敏感性。然而，由于缺乏经过验证的评估工具，无法客观感知功能障碍的程度以及儿童和父母对疾病的感知。尽管在成像方式领域取得了巨大进展，但它们在评估疾病活动中的作用仍存在争议。这部分是由于缺乏经过验证的评分系统。
仍需要进一步工作来标准化附着点关节炎的监测策略并验证结局指标。
