Ankylosing Spondylitis Flashcards
What is Ankylosing Spondylitis
Chronic inflammatory rheumatic disorder with a predilection for axial skeleton and entheses
When is onset of Ankylosing spondylitis
2nd-3rd Decade of Life
Ankylosing spondylitis more common in
males
Which molecule associated with Ankylosing spondylitis
HLA B27
Test for Spinal Mobility in Ankylosing spondylitis
Modified Schober
What does Modified Schober test in Ankylosing spondylitis do
Mark between Pos Sup Iliac Spines
Measure Difference
Test for Spinal Mobility in Ankylosing spondylitis
Lateral Spinal Flexion
Test for Spinal Mobility in Ankylosing spondylitis
Occiput to Wall
Tragus to wall
Cervical Rotation
Ankylosing spondylitis Clinical Features
Inflammatory Back Pain
Limitation of movements in antero-posterior as well as lateral planes at lumbar spine
Limitation of chest expansion
Bilateral sacroiliitis on X-rays
What would x ray show in Ankylosing Spondylitis
Bilateral Sarcoilitis
Grading of Radiographic Sacroilitis 1
Suspicious Changes
Grading of Radiographic Sacroilitis 2
Minimal Abnormality without Alteration in joint width
Grading of Radiographic Sacroilitis 3
Unequivocal abnormality: mod or advanced sacroilitis with erosions, sclerosis, widening, narrow or partial ankylosis
Grading of Radiographic Sacroilitis 4
Severe abnormality: total ankylosis
Syndesmorphytes are in what stage of Axial Spondyloarthritus
Late
Axial Spondyloarthritis should be suspected in what demographic of patients
> 3 months back pain
<45 at age of onset
Criteria for Classification for Axial Spondyloarthritis
Sacroilitis on Imaging plus >1 SPA Feature or
HLA B27 plus >2 other Spa Features
Spa Features in Axial Spondyloarthritis
Inflammatory Back Pain Arthritis Enthesitis in Heel Uveitis Dactylitis Psoriasis Crohns/Colitis Respond to NSAIDS Family History HLA B27 Elevated CRP
Management of AS in RA
Physio NSAIDS DMARDS: Sulfasalzine Anti TNF Anti IL-17 Treat Osteoporosis
which dmard to use in Axial Spondylitis
Sulfasalazine
