Characterising the axial phenotype of psoriatic arthritis: a study comparing axial psoriatic arthritis and ankylosing spondylitis with psoriasis from the REGISPONSER registry

AimsTo explore the clinical and radiographical characteristics of axial psoriatic arthritis (PsA) and to compare it with ankylosing spondylitis (AS) with psoriasis.MethodsCross-sectional study from the national multicentre registry REGISPONSER where participants fulfilled the European Spondyloarthropathy Study Group spondyloarthritis criteria at entry. Clinical, laboratory and radiographical characteristics between patients classified as axial PsA and AS with psoriasis by their rheumatologist are compared according to HLA-B27 status.ResultsOf 2367 patients on REGISPONSER, n=405 had PsA, of whom 27% (n=109) had axial involvement as per the treating rheumatologist. 30% (n=26/86) of axial PsA were HLA-B27 positive. In the AS group, 9% (127/1422) had a history of psoriasis and were more frequently male, with longer diagnostic delay and more anterior uveitis than those with axial PsA who had more peripheral involvement and nail disease. Patients with HLA-B27-negative axial PsA reported less inflammatory pain and structural damage compared with AS with psoriasis. By contrast, HLA-B27-positive axial PsA shared clinical characteristics similar to AS and psoriasis although with a lower BASRI score. In the multivariable analysis, patients with AS and psoriasis were independently associated with HLA-B27 positivity (OR 3.34, 95% CI 1.42 to 7.85) and lumbar structural damage scored by BASRI (OR 2.14, 95% CI 1.4 to 3.19).ConclusionThe more prevalent axial PsA phenotype is predominantly HLA-B27 negative and presents different clinical and radiological manifestations when compared with AS with psoriasis. There is great heterogeneity in what rheumatologists consider axial PsA from a clinical and imaging perspective, highlighting the need for research into possible genetic drivers and a consensus definition

Characterising the axial phenotype of psoriatic arthritis: a study comparing axial psoriatic arthritis and ankylosing spondylitis with psoriasis from the REGISPONSER registry

Espondilitis anquilosante; Artritis; EpidemiologíaEspondilitis anquilosant; Artritis; EpidemiologiaAnkylosing spondylitis; Arthritis; EpidemiologyAims To explore the clinical and radiographical characteristics of axial psoriatic arthritis (PsA) and to compare it with ankylosing spondylitis (AS) with psoriasis. Methods Cross-sectional study from the national multicentre registry REGISPONSER where participants fulfilled the European Spondyloarthropathy Study Group spondyloarthritis criteria at entry. Clinical, laboratory and radiographical characteristics between patients classified as axial PsA and AS with psoriasis by their rheumatologist are compared according to HLA-B27 status. Results Of 2367 patients on REGISPONSER, n=405 had PsA, of whom 27% (n=109) had axial involvement as per the treating rheumatologist. 30% (n=26/86) of axial PsA were HLA-B27 positive. In the AS group, 9% (127/1422) had a history of psoriasis and were more frequently male, with longer diagnostic delay and more anterior uveitis than those with axial PsA who had more peripheral involvement and nail disease. Patients with HLA-B27-negative axial PsA reported less inflammatory pain and structural damage compared with AS with psoriasis. By contrast, HLA-B27-positive axial PsA shared clinical characteristics similar to AS and psoriasis although with a lower BASRI score. In the multivariable analysis, patients with AS and psoriasis were independently associated with HLA-B27 positivity (OR 3.34, 95% CI 1.42 to 7.85) and lumbar structural damage scored by BASRI (OR 2.14, 95% CI 1.4 to 3.19). Conclusion The more prevalent axial PsA phenotype is predominantly HLA-B27 negative and presents different clinical and radiological manifestations when compared with AS with psoriasis. There is great heterogeneity in what rheumatologists consider axial PsA from a clinical and imaging perspective, highlighting the need for research into possible genetic drivers and a consensus definition.HM-O is supported by the National Institute for Health Research Leeds Biomedical Research Centre. The REGISPONSER registry is funded by an unrestricted grant from the Spanish Society for Rheumatology. There was no specific funding for the current analysis

Exploring the unifying concept of Spondyloarthritis: a latent class analysis of the REGISPONSER registry

ObjectivesThe aim of our study is to identify the potential distinct phenotypes within a broad Spondyloarthritis (SpA) population.MethodsWe conducted a cross-sectional study using the REGISPONSER registry with data from 31 specialist centres in Spain including patients with SpA who fulfilled the European Spondyloarthropathy Study Group (ESSG) criteria. A latent class analysis (LCA) was performed to identify the latent classes underlying SpA according to a set of predefined clinical and radiographic features, independently of expert opinion.ResultsIn a population of 2319 SpA patients, a 5 classes LCA model yielded the best fit. Classes named ‘axial with spine involvement’ and ‘axial with isolated SIJ involvement” show a primarily axial SpA phenotype defined by inflammatory back pain and high HLA-B27 prevalence. Patients in class ‘axial + peripheral’ show similar distribution of manifest variables to previous classes but also have a higher likelihood of peripheral involvement (peripheral arthritis/dactylitis) and enthesitis, therefore representing a mixed (axial and peripheral) subtype. Classes ‘Peripheral + psoriasis’ and ‘Axial + peripheral + psoriasis’ are indicative of peripheral SpA (and/or PsA) with high likelihood of psoriasis, peripheral involvement, dactylitis, nail disease, and low HLA-B27 prevalence, while class ‘Axial + peripheral + psoriasis’ also exhibits increased probability of axial involvement both clinically and radiologically.ConclusionThe identification of 5 latent classes in the REGISPONSER registry with significant overlap between axial and peripheral phenotypes is concordant with a unifying concept of SpA. Psoriasis and related features (nail disease and dactylitis) influence the phenotype of both axial and peripheral manifestations.<br/

Manuscript@CSIC

Con ocasión del 32th MELCOM Conference en Córdoba los días 19-21 de abril, 2010, se ofreció una panorámica del proyecto Manuscripts@CSIC, un proyecto que digitalizará a lo largo de 2010 150 manuscritos árabes, aljamiados y hebreos pertenecientes a la colección de manuscritos orientales del CSIC y sitos en la Escuela de Estudios Árabes de Granada y en la Biblioteca Tomás Navarro Tomás de Madrid. Los manuscritos tratan variadas temáticas y abarcan un periodo cronológico comprendido entre el siglo XIII y el siglo XIX.Consejo Superior de Investigaciones CientíficasPeer reviewe

Prevalence and Associated Factors of Low Bone Mineral Density in the Femoral Neck and Total Hip in Axial Spondyloarthritis: Data from the CASTRO Cohort

Studies on osteoporosis in axial spondyloarthritis (axSpA) have focused on the lumbar segment, and few studies have assessed bone mineral density (BMD) in the hip and femoral neck in these patients. The aim of this study was to evaluate the prevalence of low BMD and osteopenia in the total hip or femoral neck and the factors associated with these conditions in axSpA patients. This was a single-centre, observational, cross-sectional study among consecutive patients with axSpA according to the ASAS criteria from the CASTRO registry. All patients underwent total hip and femoral neck DXA BMD measurements. Low BMD was defined as a Z-score less than −1, and osteopenia was defined as a T-score less than −1. Multivariate logistic and generalised linear regressions were used to evaluate factors independently associated with low BMD and osteopenia in the hip or femoral neck and those associated with variability in BMD, respectively. A total of 117 patients were included, among which 30.8% were female and the mean age was 45 years. A total of 36.0% of patients had low BMD (28.1% in the total hip and 27.4% in the femoral neck), and 56.0% of patients had osteopenia (44.7% in the total hip and 53.8% in the femoral neck). A multivariate logistic regression showed that age, radiographic sacroiliitis and ASAS-HI were independently associated with low BMD in the total hip or femoral neck. Factors that were independently associated with osteopenia were Body Mass Index, disease duration, radiographic sacroiliitis and ASAS-HI. In conclusion, 36% of the patients with axSpA had low BMD in the total hip or femoral neck. A younger age and radiographic sacroiliitis were the most important factors associated with decreased BMD

Body mass index and disease activity in chronic inflammatory rheumatic diseases: results of the Cardiovascular in Rheumatology (Carma) Project

Objective: Since obesity has been associated with a higher inflammatory burden and worse response to therapy in patients with chronic inflammatory rheumatic diseases (CIRD), we aimed to confirm the potential association between body mass index (BMI) and disease activity in a large series of patients with CIRDs included in the Spanish CARdiovascular in rheuMAtology (CARMA) registry. Methods: Baseline data analysis of patients included from the CARMA project, a 10-year prospective study of patients with rheumatoid arthritis (RA), ankylosing spondylitis (AS), and psoriatic arthritis (PsA) attending outpatient rheumatology clinics from 67 Spanish hospitals. Obesity was defined when BMI (kg/m2) was >30 according to the WHO criteria. Scores used to evaluate disease activity were Disease Activity Score of 28 joints (DAS28) in RA, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in AS, and modified DAS for PsA. Results: Data from 2234 patients (775 RA, 738 AS, and 721 PsA) were assessed. The mean ± SD BMI at the baseline visit were: 26.9 ± 4.8 in RA, 27.4 ± 4.4 in AS, and 28.2 ± 4.7 in PsA. A positive association between BMI and disease activity in patients with RA (β = 0.029; 95%CI (0.01- 0.05); p = 0.007) and PsA (β = 0.036; 95%CI (0.015-0.058); p = 0.001) but not in those with AS (β = 0.001; 95%CI (-0.03-0.03); p = 0.926) was found. Disease activity was associated with female sex and rheumatoid factor in RA and with Psoriasis Area Severity Index and enthesitis in PsA. Conclusions: BMI is associated with disease activity in RA and PsA, but not in AS. Given that obesity is a potentially modifiable factor, adequate control of body weight can improve the outcome of patients with CIRD and, therefore, weight control should be included in the management strategy of these patients

Lipoprotein lipase activity and mass, apolipoprotein C-II mass and polymorphisms of apolipoproteins E and A5 in subjects with prior acute hypertriglyceridaemic pancreatitis

Journal Article; Research Support, Non-U.S. Gov't;BACKGROUND Severe hypertriglyceridaemia due to chylomicronemia may trigger an acute pancreatitis. However, the basic underlying mechanism is usually not well understood. We decided to analyze some proteins involved in the catabolism of triglyceride-rich lipoproteins in patients with severe hypertriglyceridaemia. METHODS Twenty-four survivors of acute hypertriglyceridaemic pancreatitis (cases) and 31 patients with severe hypertriglyceridaemia (controls) were included. Clinical and anthropometrical data, chylomicronaemia, lipoprotein profile, postheparin lipoprotein lipase mass and activity, hepatic lipase activity, apolipoprotein C II and CIII mass, apo E and A5 polymorphisms were assessed. RESULTS Only five cases were found to have LPL mass and activity deficiency, all of them thin and having the first episode in childhood. No cases had apolipoprotein CII deficiency. No significant differences were found between the non-deficient LPL cases and the controls in terms of obesity, diabetes, alcohol consumption, drug therapy, gender distribution, evidence of fasting chylomicronaemia, lipid levels, LPL activity and mass, hepatic lipase activity, CII and CIII mass or apo E polymorphisms. However, the SNP S19W of apo A5 tended to be more prevalent in cases than controls (40% vs. 23%, NS). CONCLUSION Primary defects in LPL and C-II are rare in survivors of acute hypertriglyceridaemic pancreatitis; lipase activity measurements should be restricted to those having their first episode during childhood.Part of the studies were financed by grants from the Swedish Research Council and from the King Gustaf V and Queen Victoria Research Fund and by grants from Grupos de Investigacion y Desarrollo Tecnologico de la Junta de Andalucia (Grupo consolidado CTS- 159).Ye

Zientzia eskola egutegia 2022 (euskara)

El proyecto “Calendario Científico Escolar 2022” ha consistido en la elaboración de un calendario dirigido al alumnado de educación primaria y secundaria obligatoria. Cada día se ha recogido un aniversario científico o tecnológico como, por ejemplo, nacimientos de personas de estos ámbitos o conmemoraciones de hallazgos destacables. Además, el calendario se acompaña de una guía didáctica con orientaciones para el aprovechamiento educativo transversal del calendario en las clases, incluyendo actividades adaptadas a cada rango de edad y al alumnado con necesidades especiales.Proyecto FCT-20-16375 de la Fundación Española para la Ciencia y la Tecnología (FECYT); Agencia Estatal de Investigación (España); Ministerio de Ciencia e Innovación; Consejo Superior de Investigaciones Científicas; Universidad de León; Instituto de Ganadería de Montaña (IGM, CSIC-ULE); Cátedra de Cultura Científica de la Universidad del País Vasco/ Euskal Herriko Unibertsitatea (UPV/EHU); Delegación del CSIC en Castilla y León; Unidade de Divulgación Científica e Cultural - Universidade da Coruña; Academia de la Llingua Asturiana; Casa Árabe; Alliance Française de Gijón; University of California-Davis; Teagasc; CSIC-Representación Illes Balears; Balearic Islands Coastal Observing and Forecasting System (SOCIB); Instituto de Física Interdisciplinar y Sistemas Complejos (IFISC, CSIC-UIB); Casa de la Ciència de Valencia (CSIC); Federación Española de Esperanto; Asociación Cultural Nogará Religada; Universidad de Zaragoza; Europa Laica; Museo Didáctico e Interactivo de Ciencias de la Vega Baja del Segura (MUDIC VBS-CV); Universidad Miguel Hernández; PuraVida Software.Mujeres con Ciencia; Asociaţia Secular-Umanistă din România; Instituto Geológico y Minero de España (IGME); Centro de Biología Molecular Severo Ochoa (CSIC-UAM); Asociación Española para el Avance de la Ciencia (AEAC); Centro de Investigación del Cáncer (CIC, CSIC-USAL); Discapacitodos; Universitat de les Illes Balears (UIB); Escuela de Estudios Hispano-americanos (CSIC); PRISMA – Asociación para la diversidad afectivo-sexual y de género en ciencia, tecnología e innovación; Instituto de Recursos Naturales y Agrobiología de Salamanca (IRNASA, CSIC); Círculo Escéptico; Civiencia; Universidad Autónoma de Madrid; Escuela de Estudios Árabes (CSIC); Evento Ciencia.Peer reviewe

(árabe - العربية‎) 2022 الرزنامة الدراسية العلمية

El proyecto “Calendario Científico Escolar 2022” ha consistido en la elaboración de un calendario dirigido al alumnado de educación primaria y secundaria obligatoria. Cada día se ha recogido un aniversario científico o tecnológico como, por ejemplo, nacimientos de personas de estos ámbitos o conmemoraciones de hallazgos destacables. Además, el calendario se acompaña de una guía didáctica con orientaciones para el aprovechamiento educativo transversal del calendario en las clases, incluyendo actividades adaptadas a cada rango de edad y al alumnado con necesidades especiales.Proyecto FCT-20-16375 de la Fundación Española para la Ciencia y la Tecnología (FECYT); Agencia Estatal de Investigación (España); Ministerio de Ciencia e Innovación; Consejo Superior de Investigaciones Científicas; Universidad de León; Instituto de Ganadería de Montaña (IGM, CSIC-ULE); Cátedra de Cultura Científica de la Universidad del País Vasco/ Euskal Herriko Unibertsitatea (UPV/EHU); Delegación del CSIC en Castilla y León; Unidade de Divulgación Científica e Cultural - Universidade da Coruña; Academia de la Llingua Asturiana; Casa Árabe; Alliance Française de Gijón; University of California-Davis; Teagasc; CSIC-Representación Illes Balears; Balearic Islands Coastal Observing and Forecasting System (SOCIB); Instituto de Física Interdisciplinar y Sistemas Complejos (IFISC, CSIC-UIB); Casa de la Ciència de Valencia (CSIC); Federación Española de Esperanto; Asociación Cultural Nogará Religada; Universidad de Zaragoza; Europa Laica; Museo Didáctico e Interactivo de Ciencias de la Vega Baja del Segura (MUDIC VBS-CV); Universidad Miguel Hernández; PuraVida Software.Mujeres con Ciencia; Asociaţia Secular-Umanistă din România; Instituto Geológico y Minero de España (IGME); Centro de Biología Molecular Severo Ochoa (CSIC-UAM); Asociación Española para el Avance de la Ciencia (AEAC); Centro de Investigación del Cáncer (CIC, CSIC-USAL); Discapacitodos; Universitat de les Illes Balears (UIB); Escuela de Estudios Hispano-americanos (CSIC); PRISMA – Asociación para la diversidad afectivo-sexual y de género en ciencia, tecnología e innovación; Instituto de Recursos Naturales y Agrobiología de Salamanca (IRNASA, CSIC); Círculo Escéptico; Civiencia; Universidad Autónoma de Madrid; Escuela de Estudios Árabes (CSIC); Evento Ciencia.Peer reviewe

Calandario scientifico escolar 2022 (aragonés)

El proyecto “Calendario Científico Escolar 2022” ha consistido en la elaboración de un calendario dirigido al alumnado de educación primaria y secundaria obligatoria. Cada día se ha recogido un aniversario científico o tecnológico como, por ejemplo, nacimientos de personas de estos ámbitos o conmemoraciones de hallazgos destacables. Además, el calendario se acompaña de una guía didáctica con orientaciones para el aprovechamiento educativo transversal del calendario en las clases, incluyendo actividades adaptadas a cada rango de edad y al alumnado con necesidades especiales.Proyecto FCT-20-16375 de la Fundación Española para la Ciencia y la Tecnología (FECYT); Agencia Estatal de Investigación (España); Ministerio de Ciencia e Innovación; Consejo Superior de Investigaciones Científicas; Universidad de León; Instituto de Ganadería de Montaña (IGM, CSIC-ULE); Cátedra de Cultura Científica de la Universidad del País Vasco/ Euskal Herriko Unibertsitatea (UPV/EHU); Delegación del CSIC en Castilla y León; Unidade de Divulgación Científica e Cultural - Universidade da Coruña; Academia de la Llingua Asturiana; Casa Árabe; Alliance Française de Gijón; University of California-Davis; Teagasc; CSIC-Representación Illes Balears; Balearic Islands Coastal Observing and Forecasting System (SOCIB); Instituto de Física Interdisciplinar y Sistemas Complejos (IFISC, CSIC-UIB); Casa de la Ciència de Valencia (CSIC); Federación Española de Esperanto; Asociación Cultural Nogará Religada; Universidad de Zaragoza; Europa Laica; Museo Didáctico e Interactivo de Ciencias de la Vega Baja del Segura (MUDIC VBS-CV); Universidad Miguel Hernández; PuraVida Software.Mujeres con Ciencia; Asociaţia Secular-Umanistă din România; Instituto Geológico y Minero de España (IGME); Centro de Biología Molecular Severo Ochoa (CSIC-UAM); Asociación Española para el Avance de la Ciencia (AEAC); Centro de Investigación del Cáncer (CIC, CSIC-USAL); Discapacitodos; Universitat de les Illes Balears (UIB); Escuela de Estudios Hispano-americanos (CSIC); PRISMA – Asociación para la diversidad afectivo-sexual y de género en ciencia, tecnología e innovación; Instituto de Recursos Naturales y Agrobiología de Salamanca (IRNASA, CSIC); Círculo Escéptico; Civiencia; Universidad Autónoma de Madrid; Escuela de Estudios Árabes (CSIC); Evento Ciencia.Peer reviewe