Enthesopathy of the heels in juvenile onset seronegative B-27 positive spondyloarthropathy.
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.
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006680:HLA Antigens / Q000276:immunology*; D015796:HLA-B27 Antigen; D006365:Heel / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D007592:Joint Diseases / Q000276:immunology / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology / Q000503:physiopathology*; D011859:Radiography; D012216:Rheumatic Diseases / Q000503:physiopathology; D012698:Serologic Tests; D013122:Spinal Diseases / Q000276:immunology / Q000503:physiopathology*
D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents; D006680:HLA Antigens; D015796:HLA-B27 Antigen