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Research ArticleArticle

Anterior Chest Wall Pain in Recent Inflammatory Back Pain Suggestive of Spondyloarthritis. Data from the DESIR Cohort

Daniel Wendling, Clément Prati, Christophe Demattei, Damien Loeuille, Pascal Richette and Maxime Dougados
The Journal of Rheumatology July 2013, 40 (7) 1148-1152; DOI: https://doi.org/10.3899/jrheum.121460
Daniel Wendling
From the Department of Rheumatology, University Hospital J. Minjoz, Besançon, France.
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  • For correspondence: dwendling{at}chu-besancon.fr
Clément Prati
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Christophe Demattei
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Damien Loeuille
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Pascal Richette
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Maxime Dougados
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Article Figures & Data

Tables

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    Table 1.

    Comparison of baseline characteristics between patients with and those without anterior chest wall (ACW) pain (univariate analysis).

    CharacteristicsPatients with ACW, n = 316Patients Without ACW, n = 392p
    Male sex, %45470.6
    Mean age, yrs33.6 ± 8.533.8 ± 8.70.8
    Location of axial involvement since beginning
      Cervical spine, %45330.001
      Thoracic spine, %67490.000001
      Gluteal, %78720.048
      Peripheral articular involvement, %63520.003
      Entheses involvement, %54450.009
    Diagnosis of ankylosing spondylitis at inclusion, %47380.009
    ASAS criteria fulfillment at inclusion, %72650.04
    ESSG criteria fulfillment at inclusion, %82750.02
    Duration between SpA diagnosis and inclusion, days2722260.4
    Age at IBP onset, yrs31.932.40.5
    Associated conditions at inclusion
      Reactive arthritis, %1.90.260.006
      SAPHO syndrome, %62.60.02
      Inflammatory bowel disease, %5.92.30.05
    Activity, quality of life
      Patient-acceptable symptom state, %37450.04
      BAS-G (0–10)5.40 ± 2.594.84 ± 2.510.005
      BASDAI (0–100)47.4 ± 20.242.4 ± 18.50.001
      ASDAS-CRP2.63 ± 1.092.39 ± 0.970.003
      BASFI (0–100)33.5 ± 23.327.9 ± 21.90.001
      Short Form-36
        Physical38.64 ± 8.9541.04 ± 9.450.001
        Mental38.93 ± 11.2441.30 ± 11.150.005
      Health Assessment Questionnaire (0–3)0.66 ± 0.520.54 ± 0.490.001
      ASQoL10.11 ± 4.718.57 ± 5.070.001
    Clinical findings
      Enthesis index (0–13)3.65 ± 3.571.91 ± 2.530.001
      Articular index5.84 ± 10.053.04 ± 6.820.001
      BASMI (0–10)2.47 ± 1.042.32 ± 0.970.04
    Laboratory tests
      HLA-B27, %61550.15
      CRP, mg/l10.3 ± 16.87.8 ± 12.00.02
      Hemoglobin, g/dl15.3 ± 18.816.1 ± 17.40.05
    Imaging
      Radiographic sacroiliitis*, %54450.003
      mSASSS1.17 ± 3.111.0 ± 2.70.3
    • ↵* Score ≥ 1 (see text for details). CRP: C-reactive protein; BASDAI: Bath Ankylosing Spondylitis Disease Activity Index; ASDAS-CRP: Ankylosing Spondylitis Disease Activity Score (CRP based); BASFI: Bath Ankylosing Spondylitis Functional Index; BASMI: Bath Ankylosing Spondylitis Metrology Index; mSASSS: modified Stoke Ankylosing Spondylitis Spinal Score; IBP: inflammatory back pain; ASQoL: Ankylosing Spondylitis Quality of Life questionnaire; BAS-G: Bath Ankylosing Spondylitis Global Score; ASAS: Assessment of Spondyloarthritis International Society; ESSG: European Spondyloarthropathy Study Group; SpA: spondyloarthritis; SAPHO: synovitis, acne, pustolosis, hyperostosis, osteitis.

    • View popup
    Table 2.

    Stepwise multivariate analysis (the item “diagnosis of ankylosing spondylitis before inclusion in the study” not included in the analysis, because of its relationship with radiological sacroiliitis): significant results.

    ACW Pain, n = 316No ACW Pain, n = 392Adjusted OR (95% CI)p
    Global enthesitis score (0–13)3.65 ± 3.571.91 ± 2.531.206 (1.142–1.274)< 0.0001
    For an increase of 1 unit
    Involvement of thoracic spine (pain), yes vs no (%)212 (67)192 (49)2.204 (1.590–3.054)< 0.0001
    Radiographic sacroiliac score (%)
      0: normal142 (46)209 (55)
      1: doubtful81 (26)75 (20)1.7474 (1.168–2.611)0.0066
      2: established or fusion88 (27.9)99 (25.78)1.648 (0.122–2.420)0.0108
    • ACW: anterior chest wall.

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The Journal of Rheumatology
Vol. 40, Issue 7
1 Jul 2013
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Anterior Chest Wall Pain in Recent Inflammatory Back Pain Suggestive of Spondyloarthritis. Data from the DESIR Cohort
Daniel Wendling, Clément Prati, Christophe Demattei, Damien Loeuille, Pascal Richette, Maxime Dougados
The Journal of Rheumatology Jul 2013, 40 (7) 1148-1152; DOI: 10.3899/jrheum.121460

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Anterior Chest Wall Pain in Recent Inflammatory Back Pain Suggestive of Spondyloarthritis. Data from the DESIR Cohort
Daniel Wendling, Clément Prati, Christophe Demattei, Damien Loeuille, Pascal Richette, Maxime Dougados
The Journal of Rheumatology Jul 2013, 40 (7) 1148-1152; DOI: 10.3899/jrheum.121460
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Keywords

ANTERIOR CHEST WALL
MANUBRIOSTERNAL
STERNOCLAVICULAR JOINT
STERNOCOSTAL JOINT
SPONDYLOARTHRITIS
INFLAMMATORY BACK PAIN

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Keywords

  • ANTERIOR CHEST WALL
  • MANUBRIOSTERNAL
  • STERNOCLAVICULAR JOINT
  • STERNOCOSTAL JOINT
  • spondyloarthritis
  • inflammatory back pain

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