Spondyloarthritis: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
Spondyloarthritis is a name of a goup of diseases that is included in a larger term 'arthritis'.<ref name="Braun">Braun J. et al, Spondyloarthritides, Internist., 2011 May 19</ref><ref name="BraunS">Braun J., Sieper J., Spondyloarthritides., Z Rheumatol. 2010 Jul; 69(5):425-32</ref><ref name="Reveille">Reveille J.D., Americain college of Rheumatology, 2005 Jun http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/spondyloarthritis.asp</ref><ref name="VDHeijde">Van Der Heijde D.M.F.M., Spondyloarthritis onderzoek – SPACE, Leids universitair Medisch Centrum, http://www.lumc.nl/con/2096/82547/81117042303221/</ref> Inflammation can occur in spine, sacroiliac and peripheral joints as well near the attachments of tendons and ligaments.<ref name="Reveille" /><ref name="VDHeijde" /><ref name="VReesema">Van Reesema S., Zwart N., Spondylo-artritis, Ziekenhuis Deventer, http://www.dz.nl/reuma/folders/toonfolder-1056.html</ref> This disease provokes to pain, stiffness and fatigue in back, legs and arms as in joints, ligaments and tendons.<ref name="Reveille" /><ref name="Sieper">Sieper J. et al, The assessment of spondyloarthritis International society handbook: a guide to assess spondyloarthritis., Ann Rheum Dis., 2009;68;1-44</ref><ref name="Mease">Mease P.J., Psoriatic arthritis – update on pathophysiology, assessment, and management., Bull NYU Hosp Jt Dis.,2010;68(3):191-8</ref> Eruption, eye and intestinal problems may also occur.<ref name="Braun" /><ref name="Reveille" /><ref name="VDHeijde" /><br>Spondyloarthritis in adults can be subdivided more specifically:<ref name="Braun" /><ref name="BraunS" /><ref name="Reveille" /><ref name="Buschiazzo">Buschiazzo E. et al, Epidemiology of spondyloarthritis in Argentina, Am J Med Sci. 2011 Apr; 341(4):289-92</ref><ref name="VDBerg">Van Den Berg R., How should we diagnose spondyloarthritis according to the ASAS classification criteria: a guide for practicing physicians, Pol Arch Med Wewn., 2010(11):452-7</ref><ref name="Roussou">Roussou E., Sultana S., Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that disease is causing to patients, and empolyment status., Rheumatol Int. 2011 Feb 17</ref><ref name="BraunJ">Braun J., Therapy of spondyloarthritides. Adv Exp Med Biol., 2009;649:133-47</ref><br>ankylosing spondylitis or Bechterew disease<br>psoriatic arthritis<ref name="Slobodin">Slobodin G. et al, Psoriatic arthropathy: where now?, Isr Med Assoc J., 2009 Jul;11(7):430-4</ref><br>reactive arthritis<ref name="Carter">Carter J.D. et al, Combination antibiotics as a treatment for chronic Chlamydia-induced reactive arthritis: a double blind, placebo controlled, prospective trial., Arthritis Rheum., 2010 May;62(5): 1298-307</ref><br>enteric arthritis<br>undifferentiated arthritis | Spondyloarthritis is a name of a goup of diseases that is included in a larger term 'arthritis'.<ref name="Braun">Braun J. et al, Spondyloarthritides, Internist., 2011 May 19</ref><ref name="BraunS">Braun J., Sieper J., Spondyloarthritides., Z Rheumatol. 2010 Jul; 69(5):425-32</ref><ref name="Reveille">Reveille J.D., Americain college of Rheumatology, 2005 Jun http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/spondyloarthritis.asp</ref><ref name="VDHeijde">Van Der Heijde D.M.F.M., Spondyloarthritis onderzoek – SPACE, Leids universitair Medisch Centrum, http://www.lumc.nl/con/2096/82547/81117042303221/</ref> Inflammation can occur in spine, sacroiliac and peripheral joints as well near the attachments of tendons and ligaments.<ref name="Reveille" /><ref name="VDHeijde" /><ref name="VReesema">Van Reesema S., Zwart N., Spondylo-artritis, Ziekenhuis Deventer, http://www.dz.nl/reuma/folders/toonfolder-1056.html</ref> This disease provokes to pain, stiffness and fatigue in back, legs and arms as in joints, ligaments and tendons.<ref name="Reveille" /><ref name="Sieper">Sieper J. et al, The assessment of spondyloarthritis International society handbook: a guide to assess spondyloarthritis., Ann Rheum Dis., 2009;68;1-44</ref><ref name="Mease">Mease P.J., Psoriatic arthritis – update on pathophysiology, assessment, and management., Bull NYU Hosp Jt Dis.,2010;68(3):191-8</ref> Eruption, eye and intestinal problems may also occur.<ref name="Braun" /><ref name="Reveille" /><ref name="VDHeijde" /><br>Spondyloarthritis in adults can be subdivided more specifically:<ref name="Braun" /><ref name="BraunS" /><ref name="Reveille" /><ref name="Buschiazzo">Buschiazzo E. et al, Epidemiology of spondyloarthritis in Argentina, Am J Med Sci. 2011 Apr; 341(4):289-92</ref><ref name="VDBerg">Van Den Berg R., How should we diagnose spondyloarthritis according to the ASAS classification criteria: a guide for practicing physicians, Pol Arch Med Wewn., 2010(11):452-7</ref><ref name="Roussou">Roussou E., Sultana S., Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that disease is causing to patients, and empolyment status., Rheumatol Int. 2011 Feb 17</ref><ref name="BraunJ">Braun J., Therapy of spondyloarthritides. Adv Exp Med Biol., 2009;649:133-47</ref><br>- ankylosing spondylitis or Bechterew disease<br>- psoriatic arthritis<ref name="Slobodin">Slobodin G. et al, Psoriatic arthropathy: where now?, Isr Med Assoc J., 2009 Jul;11(7):430-4</ref><br>- reactive arthritis<ref name="Carter">Carter J.D. et al, Combination antibiotics as a treatment for chronic Chlamydia-induced reactive arthritis: a double blind, placebo controlled, prospective trial., Arthritis Rheum., 2010 May;62(5): 1298-307</ref><br>- enteric arthritis<br>- undifferentiated arthritis | ||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == |
Revision as of 11:55, 23 May 2011
Original Editors - Els Bernaers
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Definition/Description[edit | edit source]
Spondyloarthritis is a name of a goup of diseases that is included in a larger term 'arthritis'.[1][2][3][4] Inflammation can occur in spine, sacroiliac and peripheral joints as well near the attachments of tendons and ligaments.[3][4][5] This disease provokes to pain, stiffness and fatigue in back, legs and arms as in joints, ligaments and tendons.[3][6][7] Eruption, eye and intestinal problems may also occur.[1][3][4]
Spondyloarthritis in adults can be subdivided more specifically:[1][2][3][8][9][10][11]
- ankylosing spondylitis or Bechterew disease
- psoriatic arthritis[12]
- reactive arthritis[13]
- enteric arthritis
- undifferentiated arthritis
Clinically Relevant Anatomy[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
It is characteristic of spondyloarthritis that pain, stiffness and fatigue occurred in back, legs and arms as in joints tendons and ligaments. It is difficult to describe the typical characteristics, mostly because it is a mix of diseases.
These diseases have a variety possible common characteristics.[2][6][7][9][12][14][15]
- inflammatory back pain
- osteoporosis
- spinal fractures
- peripheral arthritis, usually assymetric, relatively more in the lower limbs.([2][7])
- enthesitis
- dactylitis
- inflammation of the haert valve – pneumonia
- extraarticulaire disorders such as uveitis, skin porosiasis or inflammatory bowel disease
- strong familial aggregation of spondyloarthritis, psoriasis, IBD, uveitis
- association with HLA-B27
- no increased CRP and rheumatoid factor.
The symptoms vary depending on what type of spondyloarthritis the cause.[3][6][7][9][10][12] Disease progression and severity of symptoms vary greatly between individuals. The disease is subject to ups and downs.[10]
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- ↑ 1.0 1.1 1.2 Braun J. et al, Spondyloarthritides, Internist., 2011 May 19
- ↑ 2.0 2.1 2.2 2.3 Braun J., Sieper J., Spondyloarthritides., Z Rheumatol. 2010 Jul; 69(5):425-32
- ↑ 3.0 3.1 3.2 3.3 3.4 3.5 Reveille J.D., Americain college of Rheumatology, 2005 Jun http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/spondyloarthritis.asp
- ↑ 4.0 4.1 4.2 Van Der Heijde D.M.F.M., Spondyloarthritis onderzoek – SPACE, Leids universitair Medisch Centrum, http://www.lumc.nl/con/2096/82547/81117042303221/
- ↑ Van Reesema S., Zwart N., Spondylo-artritis, Ziekenhuis Deventer, http://www.dz.nl/reuma/folders/toonfolder-1056.html
- ↑ 6.0 6.1 6.2 Sieper J. et al, The assessment of spondyloarthritis International society handbook: a guide to assess spondyloarthritis., Ann Rheum Dis., 2009;68;1-44
- ↑ 7.0 7.1 7.2 7.3 Mease P.J., Psoriatic arthritis – update on pathophysiology, assessment, and management., Bull NYU Hosp Jt Dis.,2010;68(3):191-8
- ↑ Buschiazzo E. et al, Epidemiology of spondyloarthritis in Argentina, Am J Med Sci. 2011 Apr; 341(4):289-92
- ↑ 9.0 9.1 9.2 Van Den Berg R., How should we diagnose spondyloarthritis according to the ASAS classification criteria: a guide for practicing physicians, Pol Arch Med Wewn., 2010(11):452-7
- ↑ 10.0 10.1 10.2 Roussou E., Sultana S., Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that disease is causing to patients, and empolyment status., Rheumatol Int. 2011 Feb 17
- ↑ Braun J., Therapy of spondyloarthritides. Adv Exp Med Biol., 2009;649:133-47
- ↑ 12.0 12.1 12.2 Slobodin G. et al, Psoriatic arthropathy: where now?, Isr Med Assoc J., 2009 Jul;11(7):430-4
- ↑ Carter J.D. et al, Combination antibiotics as a treatment for chronic Chlamydia-induced reactive arthritis: a double blind, placebo controlled, prospective trial., Arthritis Rheum., 2010 May;62(5): 1298-307
- ↑ Slobodin G., Recently diagnosed axial spondyloarthritis: gender differences and factors related to delay in diagnosis., Clin Rheumatol., 2011 Mar 1
- ↑ Colbert R.A., Early axial spondyloarthritis., Curr Opin Rheumatol., 2010 Sep;22(5):603-7