Skip to main content

Main menu

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • 50th Volume Reprints
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • JRheum Supplements
  • Services

User menu

  • My Cart
  • Log In

Search

  • Advanced search
The Journal of Rheumatology
  • JRheum Supplements
  • Services
  • My Cart
  • Log In
The Journal of Rheumatology

Advanced Search

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • 50th Volume Reprints
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • Follow Jrheum on BlueSky
  • Follow jrheum on Twitter
  • Visit jrheum on Facebook
  • Follow jrheum on LinkedIn
  • Follow jrheum on YouTube
  • Follow jrheum on Instagram
  • Follow jrheum on RSS
Research ArticleArticle

Vertebral Fractures in Ankylosing Spondylitis Are Associated with Lower Bone Mineral Density in Both Central and Peripheral Skeleton

Eva Klingberg, Mats Geijer, Jan Göthlin, Dan Mellström, Mattias Lorentzon, Elisabet Hilme, Martin Hedberg, Hans Carlsten and Helena Forsblad-d'Elia
The Journal of Rheumatology August 2012, jrheum.120316; DOI: https://doi.org/10.3899/jrheum.120316
Eva Klingberg
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mats Geijer
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jan Göthlin
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dan Mellström
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mattias Lorentzon
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elisabet Hilme
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Martin Hedberg
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hans Carlsten
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Helena Forsblad-d'Elia
From the Department of Rheumatology and Inflammation Research and the Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg; Centre for Medical Imaging and Physiology, Skåne University Hospital, and Lund University, Lund; Department of Radiology, Sahlgrenska University Hospital, Mölndal; Department of Rheumatology, Hospital of Alingsås, Alingsås; and Department of Rheumatology, Hospital of Borås, Borås, Sweden. Supported by grants from The Health and Medical Care Executive Board of the Västra Götaland, Rune and Ulla Amlövs foundation for Rheumatology Research, Gothenburg’s Association Against Rheumatism, The Medical Society of Gothenburg, and the Region Västra Götaland (agreement concerning research and education of doctors), COMBINE, Inger Bendix foundation, and the Margareta Rheuma research foundation. E. Klingberg, MD, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg; M. Geijer, MD, PhD, Centre for Medical Imaging and Physiology, Skåne University Hospital, Lund University; J. Göthlin, MD, Professor, Department of Radiology, Sahlgrenska University Hospital/Mölndal; D. Mellström, MD, Professor; M. Lorentzon, MD, Associate Professor, Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg; E. Hilme, MD, PhD, Department of Rheumatology, Alingsås; M. Hedberg, MD, Department of Rheumatology, Borås; H. Carlsten, MD, Professor; H. Forsblad-d’Elia, MD, Associate Professor, Department of Rheumatology and Inflammation Research, Sahlgrenska Academy at University of Gothenburg. Address correspondence to Dr. E. Klingberg, Department of Rheumatology, Sahlgrenska/SU, Gröna stråket 14, S-413 45 Gothenburg, Sweden. E-mail: Eva.Klingberg@vgregion.se Accepted for publication June 1, 2012.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • References
  • PDF
Next
Loading

Abstract

Objective To study the prevalence and risk factors for vertebral fractures (VF) in ankylosing spondylitis (AS) and the relation between VF, measures of disease activity, and bone mineral density (BMD) in different measurement sites.

Methods Patients with AS (modified New York criteria) underwent examination, answered questionnaires, and gave blood samples. Lateral spine radiographs were scored for VF (Genant score) and syndesmophyte formation through modified Stoke Ankylosing Spondylitis Spine Score (mSASSS). BMD was measured with dual-energy x-ray absorptiometry in the hip, radius, and lumbar spine in anteroposterior and lateral projections with estimation of volumetric BMD (vBMD).

Results Two hundred four patients (57% men) with a mean age of 50 ± 13 years and disease duration 15 ± 11 years were included. VF were diagnosed in 24 patients (12%), but were previously noted clinically in only 3 of the 24. Patients with VF were significantly older (p = 0.004), had longer disease duration (p = 0.011), higher Bath Ankylosing Spondylitis Metrology Index (p = 0.011), mSASSS (p = 0.035), and Bath Ankylosing Spondylitis patient global score-2 (BASG-2) (p = 0.032) and were more often smokers (p = 0.032). All women with a VF were postmenopausal. BMD was significantly lower at all measuring sites in the patients with VF. In logistic regression, high BASG- 2, low BMD in femoral neck, and low lumbar vBMD were independently associated with presence of VF.

Conclusion VF in AS are common but are often not diagnosed. VF are associated with advanced age, longstanding disease, impaired back mobility, syndesmophyte formation, and lower BMD in both the central and peripheral skeleton. BMD in the femoral neck, total hip, and estimated vBMD showed the strongest association with VF.

Next
Back to top

In this issue

The Journal of Rheumatology
Vol. 52, Issue 6
1 Jun 2025
  • Table of Contents
  • Table of Contents (PDF)
  • Index by Author
  • Editorial Board (PDF)
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about The Journal of Rheumatology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Vertebral Fractures in Ankylosing Spondylitis Are Associated with Lower Bone Mineral Density in Both Central and Peripheral Skeleton
(Your Name) has forwarded a page to you from The Journal of Rheumatology
(Your Name) thought you would like to see this page from the The Journal of Rheumatology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Vertebral Fractures in Ankylosing Spondylitis Are Associated with Lower Bone Mineral Density in Both Central and Peripheral Skeleton
Eva Klingberg, Mats Geijer, Jan Göthlin, Dan Mellström, Mattias Lorentzon, Elisabet Hilme, Martin Hedberg, Hans Carlsten, Helena Forsblad-d'Elia
The Journal of Rheumatology Aug 2012, jrheum.120316; DOI: 10.3899/jrheum.120316

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

 Request Permissions

Share
Vertebral Fractures in Ankylosing Spondylitis Are Associated with Lower Bone Mineral Density in Both Central and Peripheral Skeleton
Eva Klingberg, Mats Geijer, Jan Göthlin, Dan Mellström, Mattias Lorentzon, Elisabet Hilme, Martin Hedberg, Hans Carlsten, Helena Forsblad-d'Elia
The Journal of Rheumatology Aug 2012, jrheum.120316; DOI: 10.3899/jrheum.120316
del.icio.us logo Twitter logo Facebook logo  logo Mendeley logo
  • Tweet Widget
  •  logo
Bookmark this article

Jump to section

  • Article
  • Info & Metrics
  • References
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Understanding the Psoriasis Phenotype Associated With Psoriatic Arthritis Using the PURE-4 Questionnaire: Insights From Spanish Real-World Settings
  • HLA-B27 Testing in Clinical Practice: A Retrospective Analysis of Testing Indications and Rheumatology Referral Patterns
  • Analysis of Gut-Homing Receptors in Circulating Mucosal-Associated Invariant T Cells and Their Presence in Synovial Tissue From Patients With Axial Spondyloarthritis
Show more Articles

Similar Articles

Content

  • First Release
  • Current
  • Archives
  • Collections
  • Audiovisual Rheum
  • COVID-19 and Rheumatology

Resources

  • Guide for Authors
  • Submit Manuscript
  • Author Payment
  • Reviewers
  • Advertisers
  • Classified Ads
  • Reprints and Translations
  • Permissions
  • Meetings
  • FAQ
  • Policies

Subscribers

  • Subscription Information
  • Purchase Subscription
  • Your Account
  • Terms and Conditions

More

  • About Us
  • Contact Us
  • My Alerts
  • My Folders
  • Privacy/GDPR Policy
  • RSS Feeds
The Journal of Rheumatology
The content of this site is intended for health care professionals.
Copyright © 2025 by The Journal of Rheumatology Publishing Co. Ltd.
Print ISSN: 0315-162X; Online ISSN: 1499-2752
Powered by HighWire