MEDITERRANEAN JOURNAL
OF RHEUMATOLOGY
33
3
2022
316
This work is licensed
under a Creative Commons
Attribution 4.0
International License.
©El Ouardi N, Djossou HJ, Taoubane L, Ghassem AM, Toufk H, Majjad A, Sadni S, Hmamouchi I, Abouqal R,Bahiri R, Allali F, El Bouchti I, Ghozlani I, Hassikou H, Harzy T, Ichchou L, Mkinsi O, Niamane R, El Maghraoui A, Achemlal L.
ABSTRACT
Objectives: To describe and analyse the prevalence of extra-articular manifestations (EAMs)
including acute anterior uveitis (AAU), psoriasis and infammatory bowel disease (IBD) in patients
with ankylosing spondylitis (AS) in the Moroccan registry of biological therapies in rheumatic diseases
RBSMR (Registre des Biothérapies de la Société Marocaine de Rhumatologie). Methods: A cross-
sectional, multicentre and analytical study based on the RBSMR database, which included 170 AS.
Incidence rates for the development of AAU, psoriasis and IBD were calculated, and risk factors
were analysed. Results: Prevalence of EAMs in AS was 13.5%, 4.7% and 11.2% for AAU, psoriasis
and IBD respectively. No signifcant diferences were found while establishing a comparison of the
prevalence of these EAMs between AS patients with and without peripheral arthritis. Interestingly,
AAU was the most common EAM, and was positively associated in multivariable regression with
family history of spondyloarthritis (OR= 7.21, CI 95%: 2.23 -23.24). Conclusions: AAU was the
leading EAM in patients with AS included in the Moroccan biotherapy registry (RBSMR) and it was
associated with family history of spondyloarthritis.
Mediterr J Rheumatol 2022;33(3):316-21
https://doi.org/10.31138/mjr.33.3.316
Article Submitted: 2 May 2021; Revised Form: 17 Jul 2021; Article Accepted: 30 Jul 2021; Available Online:
30 Sep 2022
Cite this article as: El Ouardi N, Djossou HJ, Taoubane L, Ghassem AM, Toufk H, Majjad A, Sadni S, Hmamouchi I, Abouqal R,Bahiri R, Allali
F, El Bouchti I, Ghozlani I, Hassikou H, Harzy T, Ichchou L, Mkinsi O, Niamane R, El Maghraoui A, Achemlal L. Extra-Articular Manifestations
in Patients with Ankylosing Spondylitis: Baseline Characteristics from the RBSMR Study. Mediterr J Rheumatol 2022;33(3):316-21.
Keywords: ankylosing spondylitis, extra-articular manifestations, acute
anterior uveitis, psoriasis, infammatory bowel disease
Extra-Articular Manifestations in Patients with Ankylosing Spondylitis: Baseline
Characteristics from the RBSMR Study
Najlae El Ouardi
1
, Julien H. Djossou
1
, Laila Taoubane
1
, Mohamed A. Ghassem
1
, Hamza Toufk
1
, Abderrahim
Majjad
1
, Siham Sadni
1
, Ihsane Hmamouchi
2,3*
, Redouane Abouqal
2*
, Rachid Bahiri
4*
, Fadoua Allali
5*
, Imane El
Bouchti
6*
, Imad Ghozlani
7*
, Hasna Hassikou
8*
, Taoufq Harzy
9*
, Linda Ichchou
10*
, Ouafa Mkinsi
11*
, Redouane
Niamane
12*
, Abdellah El Maghraoui
13*
, Lahsen Achemlal
1*
*Members of the Scientifc Committee of the RBSMR study
1
Department of Rheumatology, Military Hospital Mohammed V, Ibn Sina University Hospital, Rabat, Morocco,
2
Laboratory
of Biostatistical, Clinical and Epidemiological Research, Faculty of Medicine and Pharmacy, Mohammed V University,
Rabat, Morocco,
3
Department of Rheumatology, Provincial Hospital of Temara, Morocco,
4
Department of Rheumatology
A, El Ayachi Hospital, Ibn Sina University Hospital, Salé, Morocco,
5
Department of Rheumatology B, El Ayachi Hospital,
Ibn Sina University Hospital, Salé, Morocco,
6
Department of Rheumatology, Arrazi University Hospital, Marrakech,
Morocco,
7
Department of Rheumatology, University Hospital of Agadir, Morocco,
8
Department of Rheumatology, Military
Hospital Moulay Ismail, Hassan II University Hospital, Meknès, Morocco,
9
Department of Rheumatology, Hassan II
University Hospital, Fès, Morocco,
10
Department of Rheumatology, Mohammed VI University Hospital, Oujda, Morocco
11
Department of Rheumatology, Ibn Rochd University Hospital, Casablanca, Morocco,
12
Department of Rheumatology,
Military Hospital Avicenne, Mohammed VI University Hospital, Marrakech, Morocco,
13
Private Medical Ofce, Rabat,
Morocco
Corresponding Author:
Najlae El Ouardi
Rheumatology Department, Military
Hospital Mohammed V
PO Box: 1018, Rabat, Morocco
Tel./Fax: +212537716805
Tel.: +212641438067
E-mail: doc.najlae89@gmail.com
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