Akne vulgarisli kadın hastalarda tendon ve bağ kalınlıkları ölçümünün ve alt ekstremitelerde entezit varlığının değerlendirilmesi: randomize kontrollü bir çalışma

Abstract

Amaç: Akne Vulgaris (AV), genç popülasyonu etkileyen ve en sık ergenlerde görülen multifaktöriyel bir hastalıktır. Literatürde AV’li hastalarda entezit varlığını ve alt ekstremite tendon ve bağ kalınlıklarını araştıran çalışma yoktur. AV’li hastalarda entezit varlığını araştırmak ve alt ekstremite tendon ve bağ kalınlıklarını değerlendirmek. Gereç ve Yöntem: Çalışmaya AV tanılı 30 hasta ve 18 sağlıklı katılımcı dahil edildi. Akne şiddeti Global Acne Grading System (GAGS) ile belirlendi. Glasgow Ultrasonografik Entezit Skorlama Sistemine (GUESS) göre tek bir radyolog ultrasonografik değerlendirme yaptı. Ölçümler bilateral alt ekstremite kuadriseps tendonları, patellar tendonlar, aşil tendonları ve plantar fasyalardan yapıldı. Bulgular: Gruplar arasında yaş, vücut kitle indeksi, alkol kullanımı ve sigara kullanımı benzerdi. GUESS skoru her iki grupta benzerdi. AV’li hastalarda dominant ve nondominant bacaklarda proksimal patellar ligaman, distal patellar ligaman, aşil tendonu ve plantar fasya kalınlıkları anlamlı olarak artmıştı (p<0.05). Sonuç: Bu çalışma AV’nin bacak tendon ve bağ kalınlıklarında artışa yol açabileceğini düşündürmektedir.

Keywords

• akne vulgaris
• entezit
• GUESS skor

Evaluation of the measurement of tendon and ligament thicknesses and the presence of enthesitis in lower extremities in female patients with acne vulgaris: a randomized controlled trial

Abstract

Aim: Acne Vulgaris (AV) is a multifactorial disease which affects young population and is most common in adolescents. There are no studies in the literature invastigating the presence of enthesitis and lower extremity tendons and ligaments thicknesses in patients with AV. To investigate the presence of enthesitis and to evaluate the tendon and ligament thicknesses in lower extremities in patients with AV. Material and Method: Thirty patients with a diagnosis of AV and 18 healthy participants, were included. Acne severity was determined with the Global Acne Grading System (GAGS). A single radiologist performed ultrasonographic evaluation with respect to Glasgow Ultrasonographic Enthesitis Scoring System (GUESS). Measurement were done on quadriceps tendons, patellar tendons, Achilles tendons and plantar fascias of the bilaterally lower extremity. Results: Age, body mass index, alcohol usage and smoking were similar between groups. GUESS score was similar in both group. Proximal patellar ligaments, distal patellar ligaments, Achilles tendons and plantar fascias thicknesses were significantly increased in dominant and non-dominant legs in patients with AV (p<0.05). Conclusion: This study suggest that AV may lead to increase leg tendons and ligaments’ thicknesses.

Keywords

• acne vulgaris
• enthesitis
• GUESS score

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