Evidence map›Paper›PMID 40353601›Full record

ArticleTurkish archives of pediatrics2025

Subclinical Enthesitis in Children with Chronic Nonbacterial Osteomyelitis.

Seher Sener, Adalet Elcin Yildiz, Ezgi Deniz Batu, Erdal Atalay, Ozge Basaran, Yelda Bilginer, Seza Ozen

Abstract read
In one paragraph

Article in Turkish archives of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Seher SenerDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Adalet Elcin YildizDepartment of Radiology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Ezgi Deniz BatuDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Erdal AtalayDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Ozge BasaranDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Yelda BilginerDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Seza OzenDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Enthesitis is rare in chronic nonbacterial osteomyelitis (CNO) compared to enthesi- tis-related arthritis. It may be asymptomatic in CNO patients. This study aimed to evaluate the presence of subclinical enthesitis in patients with CNO using ultrasonography (US). Materials and Methods: Patients with CNO were included in this study and evaluated with US by an expert pediatric radiologist. The entheses of 7 tendons were assessed bilaterally, includ- ing the common extensor and flexor tendons, the quadriceps tendon, the proximal and distal patellar tendons, the Achilles tendon, and the plantar fascia. Results: Fifty CNO patients were included. The median age of the patients was 12.4 years, and 58% were female. Subclinical enthesitis was identified in 3 patients (6%). These 3 patients were male, older than 6 years at diagnosis, had bilateral sacroiliitis, and were positive for human leukocyte antigen-B27. The enthesitis was located in the right quadriceps, right plantar fascia, and bilateral Achilles. One of these patients also had a clinical history of enthesitis at diagnosis. Treatment modification was not done when subclinical enthesitis was detected since they were in clinical remission and acute phase reactants were within normal limits. However, the patient with bilateral subclinical Achilles enthesitis had a disease flare afterward, and methotrexate was switched to etanercept. Conclusion: Subclinical enthesitis can be observed especially in CNO patients with overlappin- genthesitis-related arthritis features. The use of US may prove beneficial in detecting subclini- cal enthesitis and predicting disease flare.

Identifiers

PMID40353601
PMCPMC12093391

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