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Titre : | High prevalence of achilles tendon enthesopathic changes in patients with type 2 diabetes without peripheral neuropathy |
Type de document : | article de périodique |
Auteurs : | Francsco Ursini ; Franco Arturi ; Lewa Amara ; [et al.] |
Année de publication : | 2017 |
Article en page(s) : | p. 99-105 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus Mesh]:D:Diabète de type 2:Diabète de type 2 / complications [Thésaurus Mesh]Comorbidité [Thésaurus Mesh]Diabète de type 2 [Thésaurus Mesh]Rhumatismes [Thésaurus Mesh]Tendon calcanéen
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Mots-clés : | diabetes mellitus, type 2 rheumatic diseases achilles tendon comorbidity |
Résumé : | Background: Metabolic disorders are known to alter the mechanical properties of tendons. We sought to evaluate the prevalence of asymptomatic Achilles tendon enthesopathic changes in patients with type 2 diabetes mellitus (T2DM) without peripheral neuropathy. Methods: We recruited 43 patients with T2DM and 40 controls. Neuropathy was excluded with the Michigan Neuropathy Scoring Instrument. Bilateral ultrasonography of the Achilles tendon enthesis was performed. Results: Patients with T2DM had a higher prevalence of hypoechogenicity (26.7% versus 2.5%; P ¼ .0001), entheseal thickening (24.4% versus 8.7%; P ¼ .007), and enthesophytes (74.4% versus 57.5%; P ¼ .02). No differences were found in the number of patients with erosions (1.2% versus 0%; P . .99), cortical irregularities (11.6% versus 3.7%; P ¼ .09), bursitis (5.8% versus 3.7%; P ¼ .72), or tears (2.3% versus 1.2%; P . .99). The mean 6 SD sum of abnormalities was higher in patients with T2DM (1.5 6 1.1 versus 0.7 6 0.6; P , .0001), as was the percentage of bilateral involvement (72.1% versus 45.0%; P ¼ .01). Mean 6 SD thickness did not differ between patients and controls (4.4 6 1.1 mm versus 4.2 6 0.8 mm; P ¼ .07). Conclusions: According to our data, there is an elevated prevalence of asymptomatic Achilles tendon enthesopathic changes in patients with T2DM independent of peripheral neuropathy. |
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