U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Enthesitis

MedGen UID:
451081
Concept ID:
C1282952
Disease or Syndrome
Synonyms: enthesis inflammation; enthesitis; inflammation of enthesis; Inflammation of sharpey fibers; Inflammation of sharpey fibres; inflammatory enthesopathy
SNOMED CT: Enthesitis (359643005)
 
HPO: HP:0100686
Monarch Initiative: MONDO:0024419

Definition

Inflammation at the site of insertion of ligaments, tendons, and other fibrous structures into bone. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Enthesitis

Conditions with this feature

Spondyloarthropathy, susceptibility to, 1
MedGen UID:
400145
Concept ID:
C1862852
Finding
Spondyloarthropathy (SpA), one of the commonest chronic rheumatic diseases, includes a spectrum of related disorders comprising the prototype ankylosing spondylitis (AS), a subset of psoriatic arthritis (PsA), reactive arthritis (ReA), arthritis associated with inflammatory bowel disease, and undifferentiated spondyloarthropathy (Miceli-Richard et al., 2004). These phenotypes are difficult to differentiate because they may occur simultaneously or sequentially in the same patient. Studies have suggested that a predominant shared component, including HLA-B27, predisposes to all phenotypic subsets, and that these subsets should be considered as various phenotypic expressions of the same disease (Said-Nahal et al., 2000, Said-Nahal et al., 2001). Braun and Sieper (2007) provided a detailed review of ankylosing spondylitis, including clinical features, pathogenesis, and management. Genetic Heterogeneity of Susceptibility to Spondyloarthropathy Additional susceptibility loci for spondyloarthropathy have been identified on chromosome 9q31-q34 (SPDA2; 183840) and chromosome 2q36 (SPDA3; 613238).

Professional guidelines

PubMed

Coates LC, Soriano ER, Corp N, Bertheussen H, Callis Duffin K, Campanholo CB, Chau J, Eder L, Fernández-Ávila DG, FitzGerald O, Garg A, Gladman DD, Goel N, Helliwell PS, Husni ME, Jadon DR, Katz A, Laheru D, Latella J, Leung YY, Lindsay C, Lubrano E, Mazzuoccolo LD, Mease PJ, O'Sullivan D, Ogdie A, Olsder W, Palominos PE, Schick L, Steinkoenig I, de Wit M, van der Windt DA, Kavanaugh A; GRAPPA Treatment Recommendations domain subcommittees
Nat Rev Rheumatol 2022 Aug;18(8):465-479. Epub 2022 Jun 27 doi: 10.1038/s41584-022-00798-0. PMID: 35761070Free PMC Article
Onel K, Rumsey DG, Shenoi S
Rheum Dis Clin North Am 2021 Nov;47(4):545-563. Epub 2021 Sep 2 doi: 10.1016/j.rdc.2021.07.009. PMID: 34635291
Schett G, Lories RJ, D'Agostino MA, Elewaut D, Kirkham B, Soriano ER, McGonagle D
Nat Rev Rheumatol 2017 Nov 21;13(12):731-741. doi: 10.1038/nrrheum.2017.188. PMID: 29158573

Recent clinical studies

Etiology

Fattorini F, Gentileschi S, Cigolini C, Terenzi R, Pata AP, Esti L, Carli L
Clin Exp Rheumatol 2023 Nov;41(11):2142-2150. Epub 2023 Nov 14 doi: 10.55563/clinexprheumatol/9fhz98. PMID: 37965699
López-Ferrer A, Laiz A, Puig L
Med Clin (Barc) 2022 Jul 8;159(1):40-46. Epub 2022 May 4 doi: 10.1016/j.medcli.2022.01.024. PMID: 35525675
Taitt HA, Balakrishnan R
Emerg Med Clin North Am 2022 Feb;40(1):159-178. Epub 2021 Oct 29 doi: 10.1016/j.emc.2021.08.005. PMID: 34782086
Onel K, Rumsey DG, Shenoi S
Rheum Dis Clin North Am 2021 Nov;47(4):545-563. Epub 2021 Sep 2 doi: 10.1016/j.rdc.2021.07.009. PMID: 34635291
Stober C
Best Pract Res Clin Rheumatol 2021 Jun;35(2):101694. Epub 2021 Jun 6 doi: 10.1016/j.berh.2021.101694. PMID: 34108102

Diagnosis

López-Ferrer A, Laiz A, Puig L
Med Clin (Barc) 2022 Jul 8;159(1):40-46. Epub 2022 May 4 doi: 10.1016/j.medcli.2022.01.024. PMID: 35525675
Stober C
Best Pract Res Clin Rheumatol 2021 Jun;35(2):101694. Epub 2021 Jun 6 doi: 10.1016/j.berh.2021.101694. PMID: 34108102
Kaeley GS, Eder L, Aydin SZ, Rich P, Bakewell CJ
J Rheumatol 2021 Aug;48(8):1208-1220. Epub 2021 Feb 15 doi: 10.3899/jrheum.201471. PMID: 33589557
Fiorillo MT, Haroon N, Ciccia F, Breban M
Front Immunol 2019;10:1232. Epub 2019 Jun 4 doi: 10.3389/fimmu.2019.01232. PMID: 31214188Free PMC Article
Coates LC, Helliwell PS
Clin Med (Lond) 2017 Feb;17(1):65-70. doi: 10.7861/clinmedicine.17-1-65. PMID: 28148584Free PMC Article

Therapy

Lee BW, Moon SJ
Int J Mol Sci 2023 Jul 19;24(14) doi: 10.3390/ijms241411662. PMID: 37511421Free PMC Article
Kristensen LE, Keiserman M, Papp K, McCasland L, White D, Lu W, Wang Z, Soliman AM, Eldred A, Barcomb L, Behrens F
Ann Rheum Dis 2022 Feb;81(2):225-231. Epub 2021 Dec 15 doi: 10.1136/annrheumdis-2021-221019. PMID: 34911706Free PMC Article
Onel K, Rumsey DG, Shenoi S
Rheum Dis Clin North Am 2021 Nov;47(4):545-563. Epub 2021 Sep 2 doi: 10.1016/j.rdc.2021.07.009. PMID: 34635291
Schett G, Lories RJ, D'Agostino MA, Elewaut D, Kirkham B, Soriano ER, McGonagle D
Nat Rev Rheumatol 2017 Nov 21;13(12):731-741. doi: 10.1038/nrrheum.2017.188. PMID: 29158573
Barut K, Adrovic A, Şahin S, Kasapçopur Ö
Balkan Med J 2017 Apr 5;34(2):90-101. doi: 10.4274/balkanmedj.2017.0111. PMID: 28418334Free PMC Article

Prognosis

Ruperto N, Brunner HI, Synoverska O, Ting TV, Mendoza CA, Spindler A, Vyzhga Y, Marzan K, Grebenkina L, Tirosh I, Imundo L, Jerath R, Kingsbury DJ, Sozeri B, Vora SS, Prahalad S, Zholobova E, Butbul Aviel Y, Chasnyk V, Lerman M, Nanda K, Schmeling H, Tory H, Uziel Y, Viola DO, Posner HB, Kanik KS, Wouters A, Chang C, Zhang R, Lazariciu I, Hsu MA, Suehiro RM, Martini A, Lovell DJ; Paediatric Rheumatology International Trials Organisation (PRINTO) and Pediatric Rheumatology Collaborative Study Group (PRCSG)
Lancet 2021 Nov 27;398(10315):1984-1996. Epub 2021 Nov 9 doi: 10.1016/S0140-6736(21)01255-1. PMID: 34767764
Kaeley GS, Eder L, Aydin SZ, Rich P, Bakewell CJ
J Rheumatol 2021 Aug;48(8):1208-1220. Epub 2021 Feb 15 doi: 10.3899/jrheum.201471. PMID: 33589557
Barut K, Adrovic A, Şahin S, Kasapçopur Ö
Balkan Med J 2017 Apr 5;34(2):90-101. doi: 10.4274/balkanmedj.2017.0111. PMID: 28418334Free PMC Article
Adrovic A, Barut K, Sahin S, Kasapcopur O
Curr Rheumatol Rep 2016 Aug;18(8):55. doi: 10.1007/s11926-016-0603-y. PMID: 27402112
Aggarwal A, Misra DP
Clin Rheumatol 2015 Nov;34(11):1839-46. Epub 2015 Aug 2 doi: 10.1007/s10067-015-3029-4. PMID: 26233720

Clinical prediction guides

D'Agostino MA, Carron P, Gaillez C, Conaghan PG, Naredo E, López-Rdz A, Šenolt L, Burgos-Vargas R, Hanova P, Padovano I, Cazenave T, Stoenoiu MS, Backhaus M, Mouterde G, Bao W, Goyanka P, Boers M, Schett G
Semin Arthritis Rheum 2023 Dec;63:152259. Epub 2023 Aug 19 doi: 10.1016/j.semarthrit.2023.152259. PMID: 37660536
McInnes IB, Sawyer LM, Markus K, LeReun C, Sabry-Grant C, Helliwell PS
RMD Open 2022 Mar;8(1) doi: 10.1136/rmdopen-2021-002074. PMID: 35321874Free PMC Article
McInnes IB, Rahman P, Gottlieb AB, Hsia EC, Kollmeier AP, Xu XL, Jiang Y, Sheng S, Shawi M, Chakravarty SD, van der Heijde D, Mease PJ
Arthritis Rheumatol 2022 Mar;74(3):475-485. Epub 2022 Feb 7 doi: 10.1002/art.42010. PMID: 34719872Free PMC Article
Kaeley GS, Eder L, Aydin SZ, Rich P, Bakewell CJ
J Rheumatol 2021 Aug;48(8):1208-1220. Epub 2021 Feb 15 doi: 10.3899/jrheum.201471. PMID: 33589557
Balint PV, Terslev L, Aegerter P, Bruyn GAW, Chary-Valckenaere I, Gandjbakhch F, Iagnocco A, Jousse-Joulin S, Möller I, Naredo E, Schmidt WA, Wakefield RJ, D'Agostino MA; OMERACT Ultrasound Task Force members
Ann Rheum Dis 2018 Dec;77(12):1730-1735. Epub 2018 Aug 3 doi: 10.1136/annrheumdis-2018-213609. PMID: 30076154

Recent systematic reviews

McInnes IB, Sawyer LM, Markus K, LeReun C, Sabry-Grant C, Helliwell PS
RMD Open 2022 Mar;8(1) doi: 10.1136/rmdopen-2021-002074. PMID: 35321874Free PMC Article
Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, Becker ML, Cron RQ, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Kimura Y, Lee T, Murphy K, Nigrovic PA, Ombrello MJ, Rabinovich CE, Tesher M, Twilt M, Klein-Gitelman M, Barbar-Smiley F, Cooper AM, Edelheit B, Gillispie-Taylor M, Hays K, Mannion ML, Peterson R, Flanagan E, Saad N, Sullivan N, Szymanski AM, Trachtman R, Turgunbaev M, Veiga K, Turner AS, Reston JT
Arthritis Rheumatol 2022 Apr;74(4):553-569. Epub 2022 Mar 1 doi: 10.1002/art.42037. PMID: 35233993Free PMC Article
Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, Becker ML, Cron RQ, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Kimura Y, Lee T, Murphy K, Nigrovic PA, Ombrello MJ, Rabinovich CE, Tesher M, Twilt M, Klein-Gitelman M, Barbar-Smiley F, Cooper AM, Edelheit B, Gillispie-Taylor M, Hays K, Mannion ML, Peterson R, Flanagan E, Saad N, Sullivan N, Szymanski AM, Trachtman R, Turgunbaev M, Veiga K, Turner AS, Reston JT
Arthritis Care Res (Hoboken) 2022 Apr;74(4):505-520. Epub 2022 Mar 1 doi: 10.1002/acr.24839. PMID: 35233989Free PMC Article
Onel KB, Horton DB, Lovell DJ, Shenoi S, Cuello CA, Angeles-Han ST, Becker ML, Cron RQ, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Kimura Y, Lee T, Murphy K, Nigrovic PA, Ombrello MJ, Rabinovich CE, Tesher M, Twilt M, Klein-Gitelman M, Barbar-Smiley F, Cooper AM, Edelheit B, Gillispie-Taylor M, Hays K, Mannion ML, Peterson R, Flanagan E, Saad N, Sullivan N, Szymanski AM, Trachtman R, Turgunbaev M, Veiga K, Turner AS, Reston JT
Arthritis Care Res (Hoboken) 2022 Apr;74(4):521-537. Epub 2022 Mar 1 doi: 10.1002/acr.24853. PMID: 35233986Free PMC Article
Ringold S, Angeles-Han ST, Beukelman T, Lovell D, Cuello CA, Becker ML, Colbert RA, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Horonjeff J, Nigrovic PA, Ombrello MJ, Passo MH, Stoll ML, Rabinovich CE, Schneider R, Halyabar O, Hays K, Shah AA, Sullivan N, Szymanski AM, Turgunbaev M, Turner A, Reston J
Arthritis Care Res (Hoboken) 2019 Jun;71(6):717-734. Epub 2019 Apr 25 doi: 10.1002/acr.23870. PMID: 31021516Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...