[A manifestation suggesting juvenile spondylarthropathy: anterior tibial enthesitis. Apropos of 3 cases].
The tibial tuberosity may be affected by enthesitis in seronegative spondylarthropathies, especially in childhood. Three personal cases illustrate this possibility. Data from the literature seem to confirm that enthesitis is more common in juvenile forms (where it may occur as the first manifestation) than in adult forms. Enthesitis is manifested mainly by clinical symptoms. Roentgenographic changes are inconsistent and variable; ossification may develop. Osgood Schlatter disease is the main differential diagnosis. Persistent enthesitis of the tibial tuberosity in a young boy should suggest spondylarthropathy.
Wendling
D
D
Service de Rhumatologie, Hôpital Jean Minjoz, CHRU, Besançon.
Bertrand
A M
AM
D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009220:Myositis / Q000473:pathology*; D013166:Spondylitis / Q000473:pathology*; D052256:Tendinopathy / Q000473:pathology*; D013977:Tibia / Q000473:pathology*