We see quite a number of people complaining of knee pain. Well, there is a possibility this is related to coeliac disease...
All too often we blame everything on thyroid, but maybe not this time?
FYI: WIki says...
In medicine, an enthesopathy refers to a disorder of entheses (bone attachments).
If the condition is known to be inflammatory, it can more precisely be called an enthesitis.
Enthesopathies are disorders of peripheral ligamentous or muscular attachments, abnormalities in the zones of attachment, for ligaments and tendons to bone.
And the patella is the kneecap.
The occurrence of lower limb enthesopathy in coeliac disease patients without clinical signs of articular involvement
Mariangela Atteno1, Luisa Costa1, Raffaella Tortora2, Antonio Cozzolino3,
Antonio Del Puente1, Francesco Caso4, Paolo Sfriso4, Raffaele Scarpa1 and
+ Author Affiliations
1Rheumatology Research Unit, Department of Clinical and Experimental Medicine, 2Gastroenterology Research Unit, Department of Clinical and Experimental Medicine, University Federico II of Naples, Naples, 3Gastroenterology Unit, Santo Ottone Hospital, Ariano Irpino, Avellino, 4Rheumatology Research Unit, Department of Clinical and Experimental Medicine, University of Padova, Padova and 5Department of Medicine and Surgery, Gastroenterology, University of Salerno, Salerno, Italy.
Correspondence to: Mariangela Atteno, Rheumatology Research Unit, Department of Clinical and Experimental Medicine, University Federico II of Naples, via S. Pansini 5, 80131 Naples, Italy. E-mail: email@example.com
Submitted 4 August 2012
revised version accepted 5 November 2012
Objective. Coeliac disease (CD) is a systemic autoimmune condition induced by gluten consumption in genetically predisposed people, affecting ~1% of the general population. In the literature, there are many studies that report the association between CD and different kinds of arthritis. The aim of this study was to investigate the presence of entheseal abnormalities by US in patients with CD without clinical signs of articular involvement as compared with healthy control subjects.
Methods. Sixty patients with CD attending the gastroenterology outpatient clinic of the University Federico II of Naples and 60 healthy control subjects matched for age and sex were enrolled in this study. Coeliac patients and healthy controls underwent clinical and US examination.
Results. Among 60 CD patients, 24 (40%) presented at least one entheseal alteration as compared with 6 (10%) control subjects (P < 0.01). In CD patients, the entheseal site more frequently involved was patellar (distal and proximal), while in the healthy controls the enthesopathies were all localized at the Achilles tendon.
Conclusion. In conclusion, the results of this study underline the ability of US to detect signs of subclinical enthesopathy and indicate the presence of a higher prevalence of subclinical enthesopathies in asymptomatic CD patients.
Rheumatology (2013) doi: 10.1093/rheumatology/kes380
First published online: January 7, 2013