Abstract 0878: In PsA pts w/ lateral epicondyle enthesitis on secukinumab (n=11): 🔹 Improved DAPSA & SPARCC scores 🔹 entheseal tissue biopsy showing shift toward pro-resolving fibroblasts (↑DKK3/CD200⁺) 🔹 ↓ osteoblast-related pathways @RheumNow #ACR25