Presentation
[…] spontaneous pain or tenderness at examination of an enthesis Uveitis: Past or present uveitis anterior, confirmed by an ophthalmologist Dactylitis: Past or present dactylitis, diagnosed by a doctor Psoriasis: Past or present psoriasis, diagnosed by a [rheumtutor.com]
The patient presented in advanced stage with progressive severe neurological symptoms due to spinal cord compression. Non-enhanced magnetic resonance imaging led to misdiagnosis of the lesion as a neoplastic process. [ncbi.nlm.nih.gov]
Many patients present with interscapular pain, pain in the arm, forearm, and/or hand pain. [askdrshah.com]
[…] symptoms usually present with pain after low energy fall physical exam neurologic deficits often present late and therefore patients should be admitted and observed Imaging radiographs may be occult CT if suspicious consider CT scan (best modality to [orthobullets.com]
Entire Body System
- Fever
Fever and lumbar pain occurred on the same day similar to Case 1. Inpatient treatment was provided for pneumococcal bacteremia. [ncbi.nlm.nih.gov]
Cefle 1 1 Rheumatology 2 Kocaeli University Medical Faculty, Kocaeli, Turkey Abstract Background Familial Mediterranean Fever (FMF) is autosomal ressesive disease which is commonly seen in mediterrenean countries with recurrent episodes of fever, peritonitis [ard.bmj.com]
Patients may have other systemic symptoms such as fever, skin or eye inflammation, and oral ulcers. Enteropathic arthritis rarely causes joint destruction, deformity or significant disability. [my.clevelandclinic.org]
Musculoskeletal
- Osteoporosis
A bone density scan can check the bones for osteoporosis. [healthcentral.com]
Osteoporosis Osteoporosis is a bone disease that makes the bones less dense than normal. It occurs when the body loses too much bone or makes too little bone. The bones then become weak and are prone to breaks. [medicalnewstoday.com]
After surgery, the patient continued antituberculous and anti-osteoporosis treatments. Her low back pain was relieved and low-grade fever and sweating disappeared. [ncbi.nlm.nih.gov]
Osteoporosis and spinal fractures Osteoporosis is where the bones become weak and brittle. In AS, osteoporosis can develop in the spine and can increase your risk of fracturing the bones in your backbone. [nhsinform.scot]
- Low Back Pain
Epidemic myalgia should be considered when differentiating acute low back pain accompanied by fever. [ncbi.nlm.nih.gov]
The most common symptom of ankylosing spondylitis is low back pain that develops so gradually you may not notice it in the early stages. If you've had low back pain for more than three months, see your doctor to have it checked out. [everydayhealth.com]
Video: Ankylosing spondylitis Symptoms AS starts with low back pain that comes and goes. Low back pain becomes present most of the time as the condition progresses. Pain and stiffness are worse at night, in the morning, or when you are less active. [ufhealth.org]
AS starts with low back pain that comes and goes. Low back pain becomes present most of the time as the condition progresses. Pain and stiffness are worse at night, in the morning, or when you are less active. The discomfort may wake you from sleep. [medlineplus.gov]
- Spine Pain
The early warning signs of ankylosing spondylitis to be aware of are: Gradual onset of low back pain prior to age 35. Morning stiffness of the spine. Pain and stiffness that worsens with immobility. [verywellhealth.com]
As the inflammation progresses to involve more of the spine, there is decreased flexibility and range of motion of the spine. Pain may present along the spine and involve many spinal joints. [spinemd.com]
In extreme cases, the patient develops a forward flexion of the spine, called a "poker spine" or "bamboo spine." [healthcentral.com]
Workup
^ Ankylosing Spondylitis and Undifferentiated Spondyloarthropathy Workup Author: Lawrence H Brent. Chief Editor: Herbert S Diamond. Updated: Apr 19, 2011 ^ Várvölgyi C, Bubán T, Szakáll S, et al. (April 2002). [en.wikipedia.org]
Microbiology
- Tropheryma Whipplei
Spondylitis Spondylitis due to Tropheryma whipplei. [en.wikipedia.org]
HLA Type
- HLA-B27
Many HLA-B27 positive don’t get AS, and some people without it do. Prevalence 2-8% (30% in eskimos!) [oxfordmedicaleducation.com]
People with a family member with spondyloarthritis are at higher risk of developing spondyloarthritis depending on whether they inherited the HLA-B27 gene. About 90% of people who develop spondyloarthritis will carry the HLA-B27 gene. [spondylitis.ca]
[…] uveitis than the HLA-B27-negative ones. [scielo.br]
Treatment
Your rheumatologist will tailor your treatment to your symptoms and the severity of your condition. There is no way of predicting exactly which treatment will work best for you. Each treatment has its own benefits and risks. [arthritisaustralia.com.au]
Ankylosing spondylitis physical therapy Ankylosing spondylitis physiotherapy is an integral part of Ankylosing spondylitis treatment and is often advised in conjunction with conventional treatments. [portea.com]
Treatment of ankylosing spondylitis If your doctor believes you may have ankylosing spondylitis, you will usually be referred to a rheumatologist-a specialist in the treatment of arthritis. [jointhealth.org]
Therefore, the goals of treatment are usually to manage pain and inflammation as well as slow down its progression. These objectives can often be accomplished with the doctor-recommended conservative treatments outlined in the following article. [laserspineinstitute.com]
What treatments are there for AS? Your rheumatologist will tailor your treatment to your symptoms and the severity of your condition. There is no way of predicting exactly which treatment will work best for you. [arthritiswa.org.au]
Prognosis
[…] of ankylosing spondylitis Most patients do well with exercise and analgesia 80% are employed Hip disease is more disabling than other components Indicators of poor prognosis: High ESR Poor response to NSAIDs NB the rigid AS spine requires very little [oxfordmedicaleducation.com]
Prognosis Ankylosing spondylitis has no cure; however, the prognosis for ankylosing spondylitis can differ between patients, with some experiencing complete spinal ankylosis and others achieving clinical remission between intermittent flares. [healio.com]
Prognosis The prognosis for many patients with AS will be complete spinal ankylosis, while others will experience intermittent flares between bouts of clinical remission. [hopkinsarthritis.org]
Further Reading Ankylosing Spondylitis Symptoms Ankylosing Spondylitis Pathophysiology Ankylosing Spondylitis Diagnosis Ankylosing Spondylitis Treatment Ankylosing Spondylitis Prognosis [news-medical.net]
Etiology
Classifications now in use are, in general, based upon etiological or pathological suppositions. Etiological classifications can be of little help, as no single factor has definitely been proved to be the specific causative agent. [annals.org]
Etiology Genetic predisposition: 90–95% of patients are HLA-B27 positive. [amboss.com]
Etiology The precise etiology of AS remains mostly unknown, though heritability is frequently cited as a significant contributor. Major histocompatibility alleles, particularly HLA-B27, may account for up to one-third of the genetic effect. [hopkinsarthritis.org]
Idiopathic The precise etiology is unclear. Genetic Although the precise cause of Ankylosing Spondylitis is unknown, there is a strong genetic component, i.e. HLA-B27. [veterans.gc.ca]
Epidemiology
Epidemiology Sex: ♂ > ♀ (3:1) Age: 15–40 years Lifetime prevalence in the US: ∼0.5% References:[1][2] Epidemiological data refers to the US, unless otherwise specified. Etiology Genetic predisposition: 90–95% of patients are HLA-B27 positive. [amboss.com]
Epidemiology of spondyloarthritis in North America. Am J Med Sci 2011;341(4):284-6. Dillon CF, Hirsch R. The United States National Health and Nutrition Examination Surveyand the epidemiology of ankylosing spondylitis. [hopkinsarthritis.org]
H. cinaedi infections have been increasingly reported in recent years, but the pathogen's epidemiological and pathological characteristics are still unclear. [ncbi.nlm.nih.gov]
Ankylosing spondylitis epidemiology Ankylosing spondylitis may affect people at any age beyond adolescence. It usually begins between ages 15 and 35 years (average 26 years). [news-medical.net]
Pathophysiology
Further Reading Ankylosing Spondylitis Symptoms Ankylosing Spondylitis Pathophysiology Ankylosing Spondylitis Diagnosis Ankylosing Spondylitis Treatment Ankylosing Spondylitis Prognosis [news-medical.net]
We discuss the pathophysiology, associations, presentation, investigations, complications and management of ankylosing spondylitis. *CORRECTION* NICE Guidelines state that ankylosing spondylitis affects women in similar numbers to men. [youtube.com]
"Seronegative" refers to the fact that these diseases are negative for rheumatoid factor,[3] indicating a different pathophysiological mechanism of disease than what is commonly seen in rheumatoid arthritis. [en.wikipedia.org]
The pathophysiology probably involves immune-mediated inflammation. Most patients have predominantly axial involvement (called axial ankylosing spondylitis). Some have predominately peripheral involvement. [msdmanuals.com]
Prevention
It’s not known how you can prevent ankylosing spondylitis, because no one knows what causes it in the first place. [healthline.com]
You should also consider putting some fall prevention measures in place at home, as an inflexible spine is at greater risk of fracture. [spineuniverse.com]
Since there is no known cause for ankylosing spondilitis, there are no real preventative measures. The best option is in preventing AS from becoming worse. [belmarrahealth.com]
Ankylosing spondylitis physical therapy is often recommended to people suffering from ankylosing spondylitis as it helps in better management of the symptoms, reducing pain and preventing the further progression of the disease. [portea.com]
The second group of medications control the disease and prevent long-term damage. [rheuminfo.com]