Gerster J C, Piccinin P
J Rheumatol. 1985 Apr;12(2):310-4.
Severe heel enthesopathy was diagnosed in 4 of 18 cases of juvenile onset seronegative spondyloarthropathy. The plantar fascia was affected in each case, whereas the insertion of the Achilles tendon was involved in only one case. All were males over the age of 8 at the onset of arthropathy; HLA-B27 was present in each patient. Mild heel pain was found in 4 other patients. The prognosis was poor in patients with severe talalgia but better in patients with mild or no talalgia. When compared with the adult onset spondyloarthropathy, the incidence of severe heel pain was almost the same. No cases of Achilles tendon thickening were found in the juvenile patients.
18例青少年起病的血清阴性脊柱关节病患者中，4例被诊断为重度足跟附着点病。所有病例均累及足底筋膜，仅1例累及跟腱附着点。所有患者均为男性，发病年龄超过8岁；每位患者均存在HLA - B27。另外4例患者有轻度足跟疼痛。重度足跟痛患者预后较差，而轻度或无足跟痛患者预后较好。与成人起病的脊柱关节病相比，重度足跟痛的发生率几乎相同。青少年患者中未发现跟腱增厚的病例。
