Publications by authors named "Maria Angeles Puche Larrubia"

Background: Few studies have been conducted to investigate the socioeconomic profiles of patients with ankylosing spondylitis (AS) and their associations with disease severity and disability.

Objectives: The objectives of this study were to identify clusters of patients with AS according to their socioeconomic characteristics and to evaluate the associations between these clusters and the severity of the disease and permanent disability.

Design: This was a cross-sectional and multicentre study.

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  • The study aimed to identify patient groups (clusters) among those with axial spondyloarthritis based on their extra-musculoskeletal manifestations (EMMs) and peripheral symptoms, and to evaluate how effective anti-TNF drugs were for each group over 6 months.
  • A total of 90 axSpA patients who had never received biologic DMARDs were analyzed using cluster analysis, which distinguished two main groups: one group had more peripheral symptoms and a higher prevalence of conditions like inflammatory bowel disease (IBD), while the other group had different symptom profiles.
  • Results showed that the first cluster experienced a greater improvement in disease activity scores and had a significantly higher response rate to anti-TNF treatment compared to the second cluster after
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Objective: To describe and analyse the initial symptoms attributable to patients with spondyloarthritis (SpA) and their association with HLA-B27 status.

Methods: This was an observational, cross-sectional and multicentre study with patients who fulfilled the European Spondyloarthropathy Study Group criteria for SpA from the Registry of Spondyloarthritis of Spanish Rheumatology (REGISPONSER) and Ibero-American Registry of Spondyloarthropathies (RESPONDIA) united registries. Differences in the first sign(s) or symptom(s) were compared across diagnoses and between HLA-B27 status.

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The peripheral spondyloarthritis (pSpA) entity remains poorly defined in comparison with axial SpA and psoriatic arthritis, as the clinical symptoms have low specificity, the biological markers are virtually lacking, and dedicated randomized controlled trials in this specific indication remain scarce. In addition, clinical similarities between pSpA and psoriatic arthritis (PsA) have been described, partly explained by a resemblance in the pathophysiology of both entities. Thus, diagnosing pSpA can be challenging because of the overlap with other entities and the absence of a specific test or imaging study that can definitively diagnose the condition.

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Objectives: The objective was to evaluate the association between the age at onset of psoriatic arthritis (PsA) symptoms with the characteristics and burden of the disease.

Methods: This was an observational and cross-sectional study that included a subgroup of 231 patients with PsA with < 10 years of disease duration from the REGISPONSER and RESPONDIA registries. Patients were divided into two groups according to the age of PsA symptom onset (early onset: ≤ 40-years-old and late onset: ≥ 60-years-old).

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Background: An inverse association between alcohol consumption and disease activity and functional impairment has been observed in patients with spondyloarthritis (SpA). However, neither this association nor the influence of smoking has been investigated in peripheral manifestations of SpA.

Objectives: The objective of this study was to analyze the association between smoking and alcohol consumption and the presence of peripheral musculoskeletal manifestations (arthritis, enthesitis or dactylitis) and to determine the specific location of these manifestations.

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Background: The relationship of psoriasis and spondyloarthritis (SpA) is well-known, and the age of appearance of different manifestations has been described as a determinant of SpA phenotype. However, differences between Spa with psoriasis and psoriatic arthritis (PsA) are still controversial.

Objectives: To evaluate whether the time of onset of psoriasis relative to the appearance of rheumatic symptoms in patients with SpA is associated with a clinical phenotype, a rheumatologist's diagnosis and the evolution of the disease.

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  • The study aimed to compare the effects of inflammation on subclinical atherosclerosis in patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA) using carotid ultrasound to measure carotid intima media thickness (cIMT).
  • A total of 347 participants were included: 148 with RA, 159 with SpA, and 40 healthy controls, with analyses conducted to see how disease activity and cardiovascular risk factors influenced cIMT.
  • Results indicated that while subclinical atherosclerosis is similar in RA and SpA when the diseases are well-controlled, RA patients showed significantly higher cIMT when experiencing moderate to high disease activity compared to those with SpA.
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Objective: The objective of this study was to assess the association of carotid intima-media thickness (CIMT), and also the presence of atheromatous plaque, with biological and targeted synthetic disease-modifying antirheumatic drugs, in an established cohort of patients with rheumatoid arthritis (RA).

Patients And Methods: We conducted a cross-sectional observational study based on a cohort of patients with RA and a registry of healthy controls, in whom the CIMT and presence of atheromatous plaque were assessed by ultrasound. Data were collected on disease activity, lab results and treatments.

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Different musculoskeletal disorders are a source of pain in the spinal region; most of them can be divided into mechanical, such as low back pain (LBP), or inflammatory origins, as is the case of axial spondyloarthritis (axSpA). Nevertheless, insufficient information is available about the muscle negative consequences of these conditions. Thus, the objective of this study was to identify whether mechanical muscle properties (MMPs) of cervical and lumbar muscles are different between patients with axSpA, subacute LBP (sLBP), and healthy controls.

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  • Studies mainly targeted the lumbar spine in axSpA patients, with fewer focusing on bone mineral density (BMD) in the hip and femoral neck.
  • This research included 117 axSpA patients to assess the prevalence of low BMD and osteopenia, finding that 36% had low BMD and 56% had osteopenia.
  • Key factors linked to low BMD were age, radiographic sacroiliitis, and ASAS-HI, while BMI, disease duration, and sacroiliitis were related to osteopenia.
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  • The study aimed to assess how the ASAS Health Index (ASAS-HI) relates to disease activity and overall health impact in patients with spondyloarthritis (SpA).
  • A total of 126 patients were evaluated, revealing a strong correlation between ASAS-HI scores and indicators of disease activity and functionality, particularly in individuals with accompanying fibromyalgia (FM).
  • Findings emphasized that higher ASAS-HI scores were linked to increased disease activity and worse functionality, suggesting that FM presence should be carefully evaluated in patients with SpA.
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  • The study aimed to analyze when acute anterior uveitis (AAU) occurs in relation to the onset of rheumatic symptoms in patients with spondyloarthritis (SpA).
  • A total of 2367 patients were involved, with 16.2% developing AAU; those with AAU appearing before or during rheumatic symptoms showed better overall functional ability and less structural damage.
  • No significant differences were found in the use of disease-modifying antirheumatic drugs between the two groups based on the timing of AAU appearance.
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