{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:02:27Z","timestamp":1789714947579,"version":"4.0.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Psoriasis and Psoriatic Arthritis\u00ae"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Enthesitis, a key feature of psoriatic arthritis (PsA), can be detected subclinically by ultrasound (US) in patients with psoriasis (PsO), where it may signal an increased risk of future articular involvement.\n                    <jats:bold>Purpose:<\/jats:bold>\n                    This observational study aimed to investigate the prevalence of subclinical enthesitis in PsO patients without musculoskeletal symptoms, analyze the differences between patients with enthesis alterations (i.e. active enthesitis - AE, inactive enthesitis - En, enthesopathy - Ep or none - wE, per OMERACT criteria) and evaluate the 1 year PsA incidence.\n                    <jats:bold>Research design:<\/jats:bold>\n                    All consecutive PsO patients \u226518 years attending a dermatology outpatient clinic were screened. A rheumatologist and a radiologist experienced in US performed greyscale and Power Doppler (PD) examination on six bilateral enthesal sites (Achilles, quadriceps, distal\/proximal patellar, plantar fascia, and triceps enthesis). The chi-square test or Kruskall-Wallis test detected the differences between the groups. After 1 year, rheumatologists reassessed En and AE patients for PsA onset. A\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    -value \u22640.05 was considered statistically significant.\n                    <jats:bold>Results:<\/jats:bold>\n                    Among 211 enrolled subjects, AE, En, and Ep prevalences were 6.6%, 35.6%, and 31.8%, respectively. There were no alterations in 23.2% while 2.8% showed only PD signal. BMI was higher in En than in wE and Ep (28, 24 and 25\u00a0kg\/m^2 respectively) (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). Female were less prevalent in En than in Ep (52% vs 25%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.01). None developed PsA during the 1-year follow-up.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Subclinical enthesitis is common in PsO patients (about 40%), with inactive enthesitis more frequent in higher-BMI individuals. Active enthesitis was rare (&lt;7%), and no cases progressed to PsA.\n                  <\/jats:p>","DOI":"10.1177\/24755303261446216","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T18:48:52Z","timestamp":1776710932000},"page":"121-125","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Subclinical Enthesitis in Psoriasis Patients as Predictors of Arthritis: The EPESCA Study"],"prefix":"10.1177","volume":"11","author":[{"given":"Eleonora","family":"Di Donato","sequence":"first","affiliation":[{"name":"University Hospital of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Becciolini","sequence":"additional","affiliation":[{"name":"University Hospital of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Di Nuzzo","sequence":"additional","affiliation":[{"name":"University of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nataliya","family":"Chernyschova","sequence":"additional","affiliation":[{"name":"University Hospital of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Commisso","sequence":"additional","affiliation":[{"name":"University of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sveva","family":"Lamorte","sequence":"additional","affiliation":[{"name":"University of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Fantini","sequence":"additional","affiliation":[{"name":"University of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Satolli","sequence":"additional","affiliation":[{"name":"University of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Santilli","sequence":"additional","affiliation":[{"name":"University Hospital of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Lucchini","sequence":"additional","affiliation":[{"name":"University Hospital of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Feliciani","sequence":"additional","affiliation":[{"name":"University of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Sverzellati","sequence":"additional","affiliation":[{"name":"University Hospital of Parma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1428-6102","authenticated-orcid":false,"given":"Alarico","family":"Ariani","sequence":"additional","affiliation":[{"name":"University Hospital of Parma"},{"name":"Policlinico S.Orsola-Azienda Ospedaliera Universitaria-IRCCS di Bologna\u2014Azienda Unit\u00e0 Sanitaria Locale di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0000000000000768"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-014-2630-2"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.15446"},{"issue":"5","key":"e_1_3_6_5_2","first-page":"127","article-title":"Enthesitis detection by ultrasound: where are we now?","volume":"36","author":"D'Agostino MA","year":"2018","unstructured":"D'Agostino MA. Enthesitis detection by ultrasound: where are we now? Clin Exp Rheumatol. 2018;36(5):127-130.","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2018-213609"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.16645"},{"issue":"4","key":"e_1_3_6_8_2","first-page":"593","article-title":"Ultrasonographic detection of subclinical enthesitis and synovitis: a possible stratification of psoriatic patients without clinical musculoskeletal involvement","volume":"37","author":"Zuliani F","year":"2019","unstructured":"Zuliani F, Zabotti A, Errichetti E, et al. Ultrasonographic detection of subclinical enthesitis and synovitis: a possible stratification of psoriatic patients without clinical musculoskeletal involvement. Clin Exp Rheumatol. 2019;37(4):593-599.","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-019-04445-0"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/medsci12030040"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1159\/000444218"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.13835"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-022-01568-4"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2019-001067"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.170765"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.171411"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-023-09493-4"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58111557"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2024-225531"}],"container-title":["Journal of Psoriasis and Psoriatic Arthritis\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24755303261446216","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24755303261446216","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24755303261446216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:13:27Z","timestamp":1789712007000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24755303261446216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/24755303261446216"],"URL":"https:\/\/doi.org\/10.1177\/24755303261446216","relation":{},"ISSN":["2475-5303","2475-5311"],"issn-type":[{"value":"2475-5303","type":"print"},{"value":"2475-5311","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]}}}